Individual ProviderKassandra HaughtonCounselorBehavioral Health & Social Service ProvidersPractice Address699 Farmhouse Ln, Bozeman, MT 59715(406) 556-6500(406) 579-7883PECOS EnrollmentBased on the most recent information from CMS, provider Kassandra Haughton 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 ID1790291615Provider TypeIndividualFull NameHaughton, KassandraTitleMrs.CredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date12/15/2017Last Updated7/30/2018Contact InformationPractice LocationPractice Address699 Farmhouse Ln, Bozeman, MT 59715Phone(406) 556-6500FaxUnlisted FaxMailing LocationMailing AddressPO Box 423, Bozeman, MT 59771-0423Phone(406) 579-7883FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseBBH-LCPC-LIC-27254Montana