Individual
IAN MASCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1716 W MAIN ST STE 8C, BOZEMAN, MT 59715-6821
(406) 813-0301
Mailing address
1716 W MAIN ST STE 8C, BOZEMAN, MT 59715-6821
(406) 813-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-63776
MT
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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