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NPI Code Detail

MEDICARE: BOZEMAN COUNSELING CENTER PLLC

MEDICARE: BOZEMAN COUNSELING CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1316522477
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOZEMAN COUNSELING CENTER PLLC
Provider Business Mailing Address
First Line : 2001 STADIUM DR STE A
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-0617
Country : US
Telephone Number : 406-624-6007
Fax Number :
Provider Business Practice Location Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number : 406-624-6007
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : KATHRYN KITTIE ANN BOWEN
Credential : LCPC
Telephone Number : 406-570-1424
Provider Enumeration Date : 03/10/2021
Last Update Date : 02/26/2026

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Directions to “BOZEMAN COUNSELING CENTER PLLC ” Practice Location

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