Individual
MISS REBECCA L MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
145 MILL TOWN LOOP STE B, BOZEMAN, MT 59718-5144
(406) 788-0478
Mailing address
108 INDIAN GROVE LN, BOZEMAN, MT 59718-8252
(406) 788-0478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
56508
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
MT
Enumeration date
03/18/2022
Last updated
11/30/2022
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