Individual
MELISSA COSTIGAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
321 E MAIN ST, #321, BOZEMAN, MT 59715-6241
(406) 599-7612
Mailing address
511 S 14TH AVE, BOZEMAN, MT 59715-4225
(406) 599-7612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1345
MT
Other
Enumeration date
01/21/2008
Last updated
10/24/2013
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