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300 N Willson Ave Ste E Bozeman MT 59715-3547 | |
| (406) 318-5287 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 300 N Willson Ave Ste E, Bozeman, Montana |
| Authorized Official Name and Position | Brandy R Houser (THERAPIST) |
| Authorized Official Contact | 4063185287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 575 Bozeman MT 59771-0575 Ph: () - | 300 N Willson Ave Ste E Bozeman MT 59715-3547 Ph: (406) 318-5287 |
| NPI Number | 1548733728 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 05/10/2019 |
| Medicare PECOS PAC ID | 1456691187 |
|---|---|
| Medicare Enrollment ID | O20190315002529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548733728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brandy Renee Houser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447748603 PECOS PAC ID: 7214282128 Enrollment ID: I20180618002243 |
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