Tobi Jean Bakken | Bozeman, MT • PECOS Search

Tobi Jean Bakken

Counselor

Behavioral Health & Social Service Providers

506 S 12th Ave, Bozeman, MT 59715-4208

PECOS Enrollment

Based on the most recent information from CMS, provider Tobi Jean Bakken does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1508496043
Provider Type
Individual
Full Name
Bakken, Tobi Jean
Credential
MS, LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/23/2020
Last Updated
1/23/2020

Contact Information

Practice Location

506 S 12th Ave, Bozeman, MT 59715-4208

Unlisted Fax

Mailing Location

506 S 12th Ave, Bozeman, MT 59715-4208

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 42543 Montana