Individual
KIM A CODDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
1304 WOODLAND DR, BOZEMAN, MT 59718-2770
(406) 579-4285
Mailing address
1304 WOODLAND DR, BOZEMAN, MT 59718-2770
(406) 579-4285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1370
MT
1041C0700X
Clinical Social Worker
Primary
2421
MT
Other
Enumeration date
10/20/2010
Last updated
10/17/2012
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