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Individual

REBECCA J WYSOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, PCLC

Contact information

Practice address
2310 N 7TH AVE, BOZEMAN, MT 59715-2550
(406) 586-5493
(406) 586-5493
Mailing address
2310 N 7TH AVE, BOZEMAN, MT 59715-2550
(406) 586-5493
(406) 587-1238

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25573
MT

Other

Enumeration date
09/27/2020
Last updated
09/27/2020
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