Organization · NPI-2

Annemarie Dubois, Lcsw, L.L.C

Clinic/Center, Mental Health (Including Community Mental Health Center) · Bozeman, MT

NPI number1013422781
StatusActive
Last updated in NPPESDec 4, 2017

Details

NPI
1013422781
Entity type
Organization (NPI-2)
Legal business name
Annemarie Dubois, Lcsw, L.L.C
Organization subpart
No
Enumeration date
Dec 4, 2017
Last updated
Dec 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)SWP-LCSW-LIC-4591MTYes
261QM0850X Clinic/Center, Adult Mental HealthSWP-LCSW-LIC-4591MT
261QM0855X Clinic/Center, Adolescent and Children Mental HealthSWP-LCSW-LIC-4591MT

Practice location

1351 Stoneridge Dr Ste D
Bozeman, MT 59718-7079

Phone 802-999-4559

Mailing address

Po Box 4193
Bozeman, MT 59772-4193

Phone 802-999-4559

Authorized official

Annemarie Dubois
Therapist
8029994559

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