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Individual

JEANNE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
4164 ANNIE ST, BOZEMAN, MT 59718-5718
(845) 721-1852
Mailing address
4164 ANNIE ST, BOZEMAN, MT 59718-5718

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-48521
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-57442
MT

Other

Enumeration date
02/18/2021
Last updated
03/21/2023
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