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Individual

HOLLY RAE PRISCU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
JD, LCPC

Contact information

Practice address
8353 SADDLE MOUNTAIN RD, BOZEMAN, MT 59715-8789
(406) 282-4495
Mailing address
PO BOX 392, NIWOT, CO 80544-0392
(406) 570-6751

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-45820
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-38320
MT
101YM0800X
Mental Health Counselor
CPC5265R
NV
101YM0800X
Mental Health Counselor
LPC19262
CO

Other

Enumeration date
10/22/2019
Last updated
10/31/2024
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