Individual
BONNIE SUE BIXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACLC
Contact information
Practice address
2620 CONNERY WAY, MISSOULA, MT 59808-1325
(406) 203-9948
Mailing address
PO BOX 7864, MISSOULA, MT 59807-7864
(406) 203-9948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-44180
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-62856
MT
Other
Enumeration date
02/13/2023
Last updated
05/02/2023
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