person
Michael Wayne Hetherington, LCPC
Mental Health Counselor in Bozeman, Montana
NPI 1528574423

Michael Wayne Hetherington is a Mental Health Counselor based in Bozeman, MT and is specialized in Mental Health. Michael Wayne Hetherington practices in Bozeman, MT and has the professional credentials of LCPC. The NPI Number for Michael Wayne Hetherington is 1528574423 and holds a License No. BBH-LCPC-LIC-26162 (Montana).

The current practice location address for Michael Wayne Hetherington is 4255 Kimberwicke St, Bozeman, MT and can be reached out via phone at 406-522-6300. You can also correspond with Michael Wayne Hetherington through the mailing address at 2472 LASSO AVE, BOZEMAN, MT - 59718-8039 (mailing address contact number: 406-570-4692).

Location: 4255 Kimberwicke St, Bozeman, MT, 59718-8039
person
Provider Profile Details
NPI Number
1528574423
Provider Name
Michael Wayne Hetherington
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
4255 Kimberwicke St, Bozeman, MT, 59718-8039
Phone Number
406-522-6300
Fax Number
Provider Enumeration Date
12/14/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477745370 05 MT
institution
Provider Business Practice Location Address Details
Address
4255 Kimberwicke St
City
State
Zip
59718-5700
Phone Number
406-522-6300
Fax Number
person
Provider Business Mailing Address Details
Address
4255 Kimberwicke St
City
State
Zip
59718-5700
Phone Number
406-522-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
BBH-LCPC-LIC-26162 (Montana)
Definition
Definition to come...
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