Individual
ZACHARY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCLC
Contact information
Practice address
89 ANNIE GLADE DR, BOZEMAN, MT 59718-9149
(406) 581-2459
Mailing address
89 ANNIE GLADE DR, BOZEMAN, MT 59718-9149
(406) 581-2459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-64872
MT
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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