Individual
KIM BODILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
600 CENTRAL AVE STE 311, GREAT FALLS, MT 59401-3157
(406) 209-8747
Mailing address
928 AVENUE D NW, GREAT FALLS, MT 59404-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-43646
MT
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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