Individual
ADRIANNE V WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTLC
Contact information
Practice address
211 SWEETGRASS AVE, BOZEMAN, MT 59718-2698
(406) 219-7769
Mailing address
211 SWEETGRASS AVE, BOZEMAN, MT 59718-2698
(406) 219-7769
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
BBH-MFLC-LIC-64874
MT
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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