Individual provider · Type 1 NPI

Jennifer Viciedo, M.S., LCPC

Professional Counselor · Bozeman, MT

NPI number 1821364860 Active

Practice location

2050 Fairway Dr, Suite 111
Bozeman, MT 59715-5806

Call (406) 570-3547 Map

Mailing address

424 N Wallace Ave
Bozeman, MT 59715-3756

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X2174 LCPC (MT)
Mental Health Counselor 101YM0800X2174 LCPC (MT)
Professional Counselor Primary 101YP2500X2174 LCPC (MT)

Professional Counselor: Definition to come...

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About NPI 1821364860

Jennifer Viciedo, M.S., LCPC's National Provider Identifier is 1821364860, issued on Mar 23, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bozeman, MT. The record was last updated on Sep 4, 2015.