Individual
ALLYSSA STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MS, SWLC
Contact information
Practice address
1924 W STEVENS ST STE 202, BOZEMAN, MT 59718-7043
(406) 595-3746
(406) 578-1363
Mailing address
1924 W STEVENS ST STE 202, BOZEMAN, MT 59718-7043
(406) 595-3746
(406) 578-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76714
MT
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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