Individual
MICHELLE BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 209-7096
Mailing address
PO BOX 10671, BOZEMAN, MT 59719-0671
(406) 209-7096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SWP-LCPC-LIC-12013
MT
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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