Doctor Name: | MRS. SABRINA HUSAIN BAJAKIAN |
NPI Number: | 1033559265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 4554-LCPC |
Business Practice Address: | 234 E Babcock St Suite 8 Bozeman, MT - 597154708 |
Business Phone Number: | 4065996248 |
Business Fax Number: | |
Mailing Address: | 234 E Babcock St, Suite 8 BOZEMAN |
State: | MT |
Postal Code: | 597154708 |
Phone Number: | 4065996248 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2013 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4554-LCPC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |