Individual
EMILY M TAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N 5TH AVE UNIT 102, BOZEMAN, MT 59715-2884
(406) 641-5696
Mailing address
815 N 5TH AVE UNIT 102, BOZEMAN, MT 59715-2884
(406) 641-5696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44028
MT
101YM0800X
Mental Health Counselor
Primary
57620
—
Other
Enumeration date
08/07/2020
Last updated
03/08/2024
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