Individual ProviderKarina UstinovaCounselorBehavioral Health & Social Service ProvidersPractice Address233 E Main St Ste 401, Bozeman, MT 59715-5045(866) 365-3295PECOS EnrollmentBased on the most recent information from CMS, provider Karina Ustinova 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 ID1508594433Provider TypeIndividualFull NameUstinova, KarinaCredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date8/9/2022Last Updated8/9/2022Contact InformationPractice LocationPractice Address233 E Main St Ste 401, Bozeman, MT 59715-5045Phone(866) 365-3295FaxUnlisted FaxMailing LocationMailing Address233 E Main St Ste 401, Bozeman, MT 59715-5045PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLC12560Maryland