Individual
SHERI LEE MORTENSEN-BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2505 FAIRWAY DRIVE, BOZEMAN, MT 59715
(406) 579-1531
Mailing address
2505 FAIRWAY DR, BOZEMAN, MT 59715-5862
(406) 579-1531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-1332
MT
101YS0200X
School Counselor
73489
MT
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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