Individual
LORI CASE MARCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1609 W BABCOCK ST, BOZEMAN, MT 59715-4007
(406) 570-5510
(406) 570-5510
Mailing address
1609 W BABCOCK AVE, BOZEMAN, MT 59715
(406) 570-5510
(406) 570-5510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 1068
MT
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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