person
Mrs. Ellie Victoria Shattuck, PCLC
Mental Health Counselor in Bozeman, Montana
NPI 1962274662

Ellie Victoria Shattuck is a Mental Health Counselor based in Bozeman, MT and is specialized in Mental Health. Ellie Victoria Shattuck practices in Bozeman, MT and has the professional credentials of PCLC. The NPI Number for Ellie Victoria Shattuck is 1962274662 and holds a License No. BBH-PCLC-LIC-48422 (Montana).

The current practice location address for Ellie Victoria Shattuck is 1970 Stadium Dr Ste B, Bozeman, MT and can be reached out via phone at 704-574-0383. You can also correspond with Ellie Victoria Shattuck through the mailing address at 500 WESTGATE AVE, BOZEMAN, MT - 59718-2503 (mailing address contact number: 704-574-0383).

Location: 1970 Stadium Dr Ste B, Bozeman, MT, 59718-2503
person
Provider Profile Details
NPI Number
1962274662
Provider Name
Ellie Victoria Shattuck
Credential
PCLC
Provider Entity Type
Individual
Gender
Female
Address
1970 Stadium Dr Ste B, Bozeman, MT, 59718-2503
Phone Number
704-574-0383
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1970 Stadium Dr Ste B
City
State
Zip
59715-0623
Phone Number
704-574-0383
Fax Number
person
Provider Business Mailing Address Details
Address
1970 Stadium Dr Ste B
City
State
Zip
59715-0623
Phone Number
704-574-0383
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
BBH-PCLC-LIC-48422 (Montana)
Definition
Definition to come...
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