Individual
IAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 W DICKERSON ST STE D, BOZEMAN, MT 59715-1311
(406) 219-8321
(406) 215-4554
Mailing address
601 S GRAND AVE, BOZEMAN, MT 59715-5219
(406) 580-5071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-38594
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-55424
MT
Other
Enumeration date
09/26/2019
Last updated
04/25/2023
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