Provider Demographics
NPI:1477868859
Name:JAMES, ELIZABETH GLENN (MS, CRC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GLENN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:GLENN
Other - Last Name:METCALFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC
Mailing Address - Street 1:205 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2340
Mailing Address - Country:US
Mailing Address - Phone:406-563-8117
Mailing Address - Fax:406-563-5956
Practice Address - Street 1:1811 W KOCH ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4127
Practice Address - Country:US
Practice Address - Phone:406-587-1181
Practice Address - Fax:406-587-1801
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor