Individual
MISS HANNAH RACHAEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
2050 FAIRWAY DR STE 202, BOZEMAN, MT 59715-5810
(406) 595-5855
Mailing address
PO BOX 512, BOZEMAN, MT 59771-0512
(406) 595-5855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-30190
MT
Other
Enumeration date
04/09/2018
Last updated
12/11/2020
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