Provider Demographics
NPI:1437746757
Name:DAHMAN, PATRICK (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:DAHMAN
Suffix:
Gender:M
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 EVENING STAR LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-7761
Mailing Address - Country:US
Mailing Address - Phone:763-234-9096
Mailing Address - Fax:
Practice Address - Street 1:560 EVENING STAR LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-7761
Practice Address - Country:US
Practice Address - Phone:763-234-9096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-46607101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional