IndividualActive
Adrianne Wallace, MFTLC
NPI 1407620867 · Marriage & Family Therapist · Bozeman, MT
Provider details
- NPI number
- 1407620867
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MFTLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- BBH-MFLC-LIC-64874 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
211 Sweetgrass Ave
Bozeman, MT 59718-2698
Phone: (406) 219-7769
Approximate (ZIP-level) locationGet directions
Mailing address
211 Sweetgrass Ave
Bozeman, MT 59718-2698
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.