Individual
KATHLEEN MIELNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
895 TECHNOLOGY BLVD, SUITE 201, BOZEMAN, MT 59718-6811
(406) 587-6290
Mailing address
895 TECHNOLOGY BLVD, SUITE 201, BOZEMAN, MT 59718-6811
(406) 587-6290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1008
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745363
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/18/2006
Last updated
07/08/2007
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