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Ms. Shaun L Phoenix, LCPC
Mental Health Counselor in Bozeman, Montana
NPI 1982760625

Shaun L Phoenix is a Mental Health Counselor based in Belgrade, MT and is specialized in Mental Health. Shaun L Phoenix practices in Bozeman, MT and has the professional credentials of LCPC. The NPI Number for Shaun L Phoenix is 1982760625 and holds a License No. 914 (Montana).

The current practice location address for Shaun L Phoenix is 17 S 5Th Ave, Bozeman, MT and can be reached out via phone at 406-580-0562.

Location: 17 S 5Th Ave, Bozeman, MT, 59714-9533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982760625
Provider Name
Shaun L Phoenix
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
17 S 5Th Ave, Bozeman, MT, 59714-9533
Phone Number
406-580-0562
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000252518 05 MT
1982760625 05 MT
institution
Provider Business Practice Location Address Details
Address
17 S 5Th Ave
City
Bozeman
State
Montana
Zip
59715-4443
Phone Number
406-580-0562
Fax Number
person
Provider Business Mailing Address Details
Address
17 S 5Th Ave
City
Bozeman
State
Montana
Zip
59715-4443
Phone Number
406-580-0562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
914 (Montana)
Definition
Definition to come...
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