Individual
KASEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCPC
Contact information
Practice address
1940 W DICKERSON ST, SUITE 207, BOZEMAN, MT 59718-6851
(406) 586-9735
Mailing address
7085 BRISTOL LANE, BOZEMAN, MT 59715
(406) 551-0949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1202
MT
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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