Provider Demographics
NPI:1518359330
Name:RAMSEY, CARLENE COOKE (LCPC)
Entity Type:Individual
Prefix:
First Name:CARLENE
Middle Name:COOKE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4156 TANZANITE DR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-4117
Mailing Address - Country:US
Mailing Address - Phone:360-319-4896
Mailing Address - Fax:
Practice Address - Street 1:2023 STADIUM DR STE 2B-209
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-0613
Practice Address - Country:US
Practice Address - Phone:406-219-7841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH604363322101YM0800X
MTBBH-LCPC-37568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health