MICHAEL WAYNE HETHERINGTON

BOZEMAN, MT
NPI1528574423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MT  BBH-LCPC-LIC-26162)
Enumeration Date2017-12-14
Last Update Date2022-01-24
Business Address
MICHAEL WAYNE HETHERINGTON LCPC
4255 KIMBERWICKE ST
BOZEMAN, MT 59718-5700
Phone number: 406-522-6300
Mailing Address
MICHAEL WAYNE HETHERINGTON LCPC
2472 LASSO AVE
BOZEMAN, MT 59718-8039
Phone number: 406-570-4692
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