Provider Information for 1780931170
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KASEY ANDERSON M.Ed., LCPC
Sex: Female
NPI: 1780931170
Last Updated: 2012-08-06
Certification Date:
Certification Date:
Details
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| NPI | 1780931170 | ||||||||
| Enumeration Date | 2012-08-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7085 BRISTOL LANE BOZEMAN, MT 59715 United States Phone: 406-551-0949 | Fax: | ||||||||
| Primary Practice Address | 1940 W DICKERSON ST SUITE 207 BOZEMAN, MT 59718-6851 United States Phone: 406-586-9735 | Fax: | ||||||||
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