Source Counseling Collective

NPI #1710659115 in Bozeman, Montana

Provider Information

NPI Number: 1710659115
Entity Type: Organization
Organization Name: Source Counseling Collective
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 4, 2021
Last Updated: Dec 6, 2021

Practice Location

Address: 2415 W MAIN ST STE 2
City: Bozeman
State: Montana
ZIP Code: 59718-3809
Phone: (406) 589-5512

Authorized Official

Name: ANDREW G. LEAR, LCSW
Title: OWNER
Phone: (406) 589-5512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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