Individual
EMILY ROSE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
141 DISCOVERY DR STE 109, BOZEMAN, MT 59718-4134
(406) 905-0632
Mailing address
1816 REMINGTON WAY APT 210, BOZEMAN, MT 59718-5470
(406) 905-0632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-56959
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LAC-LIC-56959
MONTANA BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
07/25/2022
Last updated
01/05/2026
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