Individual
LISA ASHLEY STREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LMT
Contact information
Practice address
601 NIKLES DR STE 6, BOZEMAN, MT 59715-2570
(406) 599-3818
Mailing address
975 KODIAK PL, BELGRADE, MT 59714-9042
(406) 599-3818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-43684
MT
225700000X
Massage Therapist
570343-09
MT
Other
Enumeration date
07/22/2010
Last updated
07/16/2020
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