Provider Demographics
NPI:1235804667
Name:KEMP, ANDREW CLAYTON (MSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:CLAYTON
Last Name:KEMP
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 W DICKERSON ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4330
Mailing Address - Country:US
Mailing Address - Phone:406-451-1836
Mailing Address - Fax:
Practice Address - Street 1:1902 W DICKERSON ST STE 208
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6852
Practice Address - Country:US
Practice Address - Phone:406-451-1836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health