Individual
DEMI BIANCA CISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 E MAIN ST STE 417, BOZEMAN, MT 59715-5045
(561) 317-4563
Mailing address
233 E MAIN ST STE 417, BOZEMAN, MT 59715-5045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
117528
TX
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-90152
MT
1041C0700X
Clinical Social Worker
CSW009821
GA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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