Individual
KIM ELISABETH LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS; LCPC
Contact information
Practice address
321 E MAIN ST STE 407, BOZEMAN, MT 59715-4731
(406) 581-8377
Mailing address
6905 BRISTOL LN, BOZEMAN, MT 59715-9506
(406) 581-8377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1047
MT
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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