Healthcare Provider Details

I. General information

NPI: 1992609952
Provider Name (Legal Business Name): ALEXANDRA PASIN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

IV. Provider business mailing address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-1360
  • Fax:
Mailing address:
  • Phone: 406-585-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-90735
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: