Provider First Line Business Practice Location Address:
205 HAGGERTY LANE, SUITE 295
Provider Second Line Business Practice Location Address:
NEW TERRITORY COUNSELING AND CONSULTATION, LLC
Provider Business Practice Location Address City Name:
BOZEMAN
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-522-1132
Provider Business Practice Location Address Fax Number:
406-430-4117
Provider Enumeration Date:
08/02/2006