Individual
MARIANNE JACKSON AMSDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
716 S 20TH AVE STE 201, BOZEMAN, MT 59718-6837
(406) 414-7669
Mailing address
5588 PATTERSON RD, BOZEMAN, MT 59718-9580
(406) 920-0888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-48533
MT
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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