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Individual

MARIAN WITTHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
333 HAGGERTY LN, 5, BOZEMAN, MT 59715-1779
(406) 586-7760
(406) 585-3434
Mailing address
333 HAGGERTY LN, 5, BOZEMAN, MT 59715-1779
(406) 586-7760
(406) 585-3434

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74628
BLUE CROSS/BLUE SHIELD
MT
Enumeration date
01/08/2010
Last updated
01/08/2010
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