Individual ProviderIan AndersonCounselorBehavioral Health & Social Service ProvidersPractice Address1807 W Dickerson St Ste D, Bozeman, MT 59715-1311(406) 219-8321(406) 580-5071PECOS EnrollmentBased on the most recent information from CMS, provider Ian Anderson 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 ID1962053314Provider TypeIndividualFull NameAnderson, IanGenderMaleSole ProprietorYesEnumeration Date9/26/2019Last Updated4/25/2023Contact InformationPractice LocationPractice Address1807 W Dickerson St Ste D, Bozeman, MT 59715-1311Phone(406) 219-8321Fax(406) 215-4554Mailing LocationMailing Address601 S Grand Ave, Bozeman, MT 59715-5219Phone(406) 580-5071FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseBBH-LCPC-LIC-55424MontanaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseBBH-PCLC-LIC-38594Montana