Individual
EMILY TUTVEDT GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
Mailing address
PO BOX 494, BELGRADE, MT 59714-0494
(406) 518-1267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7698
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000749440
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
03/12/2014
Last updated
03/18/2018
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