Organization
MELISSA COSTIGAN DAVIS, LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS LCPC (LCPC)
(406) 599-7612
Entity
Organization
Contact information
Practice address
1934 STADIUM DR STE C, BOZEMAN, MT 59715-0672
(406) 599-7612
Mailing address
1404 BLUEBIRD LN, BOZEMAN, MT 59715-9274
(406) 599-7612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1345
MT
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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