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Organization

FAMILY COUNSELING CENTER OF MT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA JANE FAHLSTROM LCSW (OWNER/CLINICAL SOCIAL WORKER)
(406) 219-1350
Entity
Organization

Contact information

Practice address
145 MILL TOWN LOOP STE B, BOZEMAN, MT 59718-5144
(406) 219-1350
Mailing address
PO BOX 7003, BOZEMAN, MT 59771-7003
(406) 219-1350

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/12/2021
Last updated
04/24/2021
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