Individual ProviderCarol Burroughs StabenCounselorBehavioral Health & Social Service ProvidersPractice Address2023 Stadium Dr, #2b, Bozeman, MT 59715-0613(406) 585-3743PECOS EnrollmentBased on the most recent information from CMS, provider Carol Burroughs Staben 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 ID1720142813Provider TypeIndividualFull NameStaben, Carol BurroughsCredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date12/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2023 Stadium Dr, #2b, Bozeman, MT 59715-0613Phone(406) 585-3743FaxUnlisted FaxMailing LocationMailing Address343 Crest Dr, Bozeman, MT 59718-8764Phone(406) 585-3743FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense297Montana