Individual
TANIQUELL WILDER O'TOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
416 N 7TH AVE, BOZEMAN, MT 59715-3310
(406) 209-8644
Mailing address
416 N 7TH AVE, BOZEMAN, MT 59715-3310
(406) 589-5309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
23182
MT
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-23182
MT
Other
Enumeration date
11/21/2016
Last updated
03/29/2024
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