Individual
MS. SUSAN PENDLETON MAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
321 E MAIN ST, SUITE 402-B, BOZEMAN, MT 59715-6241
(406) 581-4011
(406) 586-2835
Mailing address
321 E MAIN ST, SUITE 402-B, BOZEMAN, MT 59715-6241
(406) 581-4011
(406) 586-2835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1329
MT
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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