Individual
MS. DOROTHY BERDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3 BADGER ROAD, ENNIS, MT 59729-1241
(360) 460-8936
Mailing address
PO BOX 1241, ENNIS, MT 59729-1241
(360) 460-8936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14250
MT
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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