Individual ProviderMarian WittharCounselorBehavioral Health & Social Service ProvidersPractice Address333 Haggerty Ln, 5, Bozeman, MT 59715-1779(406) 586-7760PECOS EnrollmentBased on the most recent information from CMS, provider Marian Witthar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1346570652Provider TypeIndividualFull NameWitthar, MarianCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date1/8/2010Last Updated1/8/2010Contact InformationPractice LocationPractice Address333 Haggerty Ln, 5, Bozeman, MT 59715-1779Phone(406) 586-7760Fax(406) 585-3434Mailing LocationMailing Address333 Haggerty Ln, 5, Bozeman, MT 59715-1779Phone(406) 586-7760Fax(406) 585-3434Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense101MontanaProvider IdentifiersIDDescriptionIssuerID74628DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDMontana