Individual provider · Type 1 NPI

Eva L. Ticknor, PCLC

Counselor · Bozeman, MT

NPI number 1003790817 Active

Practice location

950 Stoneridge Dr Ste 1
Bozeman, MT 59718-7063

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003790817

Eva L. Ticknor, PCLC's National Provider Identifier is 1003790817, issued on Aug 4, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bozeman, MT. The record was last updated on Aug 4, 2025.