Individual
ERICA LEIGH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
1800 W KOCH ST STE 5, BOZEMAN, MT 59715-1301
(406) 284-1260
Mailing address
1007 S GRAND AVE, BOZEMAN, MT 59715-5226
(406) 284-1260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
55609
MT
101YM0800X
Mental Health Counselor
Primary
56740
MT
Other
Enumeration date
06/14/2022
Last updated
07/05/2022
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