Flourish Counseling Mt, LLC

NPI #1063071645 in Bozeman, Montana

Provider Information

NPI Number: 1063071645
Entity Type: Organization
Organization Name: Flourish Counseling Mt, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 7, 2019
Last Updated: Dec 8, 2021

Practice Location

Address: 2135 CHARLOTTE ST STE 2
City: Bozeman
State: Montana
ZIP Code: 59718-2741
Phone: (206) 930-8970

Authorized Official

Name: JAI KIERON RENE RUSSELL, LCSW
Title: CLINICAL SOCIAL WORKER
Phone: (206) 930-8970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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