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MICHELE SUSAN CAREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2050 FAIRWAY DR, SUITE 108, BOZEMAN, MT 59715-5806
(406) 570-9887
Mailing address
2050 FAIRWAY DR, SUITE 108, BOZEMAN, MT 59715-5806
(406) 570-9887

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1315-LCPC
MT
101YM0800X
Mental Health Counselor
1315-LCPC
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
743760
BCBS
Enumeration date
08/18/2009
Last updated
03/01/2012
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