Individual
KARINA USTINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(866) 365-3295
Mailing address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12560
MD
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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