person
Martha Fairchild Dudley, LCPC
Professional Counselor in Bozeman, Montana
NPI 1366566358

Martha Fairchild Dudley is a Professional Counselor based in Bozeman, MT and is specialized in Professional. Martha Fairchild Dudley practices in Bozeman, MT and has the professional credentials of LCPC. The NPI Number for Martha Fairchild Dudley is 1366566358 and holds a License No. 1037 (Montana).

The current practice location address for Martha Fairchild Dudley is 612 E Main St, Bozeman, MT and can be reached out via phone at 406-539-0300 and via fax at 406-522-0286.

Location: 612 E Main St, Bozeman, MT, 59715-3719
person
Provider Profile Details
NPI Number
1366566358
Provider Name
Martha Fairchild Dudley
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
612 E Main St, Bozeman, MT, 59715-3719
Phone Number
406-539-0300
Fax Number
406-522-0286
Provider Enumeration Date
03/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0255102 05 MT
institution
Provider Business Practice Location Address Details
Address
612 E Main St
City
State
Zip
59715-3719
Phone Number
406-539-0300
Fax Number
406-522-0286
person
Provider Business Mailing Address Details
Address
612 E Main St
City
State
Zip
59715-3719
Phone Number
406-539-0300
Fax Number
406-522-0286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1037 (Montana)
Definition
Definition to come...
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