Individual
DEE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
321 E MAIN ST, SUITE 306, BOZEMAN, MT 59715-6241
(406) 586-7515
Mailing address
321 E MAIN ST, SUITE 306, BOZEMAN, MT 59715-6241
(406) 586-7515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
146LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7565
BCBS NUMBER
MT
Enumeration date
12/04/2006
Last updated
07/08/2007
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