Individual
STEPHANIE JUDE BULLUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
950 STONERIDGE DR STE 1, BOZEMAN, MT 59718-7063
(406) 570-5235
Mailing address
395 COMFORT LN, BOZEMAN, MT 59718-9139
(406) 570-5235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63440
MT
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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