Individual
ELIZABETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3985 VALLEY COMMONS DR, BOZEMAN, MT 59718-6633
(509) 264-3046
Mailing address
PO BOX 281, BOZEMAN, MT 59771-0281
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT-LMT-LIC-12394
MT
251S00000X
Community/Behavioral Health Agency
LMT-LMT-LIC-12394
MT
Other
Enumeration date
09/07/2019
Last updated
09/11/2023
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