Individual
TOBI JEAN BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
506 S 12TH AVE, BOZEMAN, MT 59715-4208
(406) 579-0412
Mailing address
506 S 12TH AVE, BOZEMAN, MT 59715-4208
(406) 579-0412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
42543
MT
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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