Individual
ROBERT AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
601 NIKLES DR, BOZEMAN, MT 59715-2570
(404) 424-1750
Mailing address
3016 CATTAIL ST, BOZEMAN, MT 59718-8872
(404) 424-1750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-56534
MT
101YM0800X
Mental Health Counselor
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Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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