Individual
JONATHAN BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
321 E MAIN ST, BOZEMAN, MT 59715-6241
(406) 595-5255
Mailing address
908 S TRACY AVE APT E3, BOZEMAN, MT 59715-5375
(406) 595-5255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-33059
MT
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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