Provider Demographics
NPI:1508522657
Name:BOBINSKI, ADAM ALEXANDER
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:ALEXANDER
Last Name:BOBINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 WINSLOW AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-9732
Mailing Address - Country:US
Mailing Address - Phone:406-202-4314
Mailing Address - Fax:
Practice Address - Street 1:24 W PACIFIC ST
Practice Address - Street 2:
Practice Address - City:EAST HELENA
Practice Address - State:MT
Practice Address - Zip Code:59635-9045
Practice Address - Country:US
Practice Address - Phone:406-202-4314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT63591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional