| Haven | |
|
1996 Little Cottage Ln Apt 9 Bozeman MT 59715-9440 | |
| (406) 586-7689 | |
| Not Available |
| Full Name | Haven |
|---|---|
| Speciality | Counselor |
| Location | 1996 Little Cottage Ln Apt 9, Bozeman, Montana |
| Authorized Official Name and Position | Jennifer Bain (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4065867689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Po Box 752 Bozeman MT 59771-0752 Ph: (406) 586-7689 | Haven 1996 Little Cottage Ln Apt 9 Bozeman MT 59715-9440 Ph: (406) 586-7689 |
| NPI Number | 1578920120 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578920120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCPC4673 (Montana) | Primary |
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