Individual
CAROL BURROUGHS STABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2023 STADIUM DR, #2B, BOZEMAN, MT 59715-0613
(406) 585-3743
Mailing address
343 CREST DR, BOZEMAN, MT 59718-8764
(406) 585-3743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
297
MT
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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