Provider Demographics
NPI:1720145337
Name:STERLING, BETTY FOX (BETTY STERLING)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:FOX
Last Name:STERLING
Suffix:
Gender:F
Credentials:BETTY STERLING
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:FOX
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BETTY STERLING, LCPC
Mailing Address - Street 1:1609 W BABCOCK ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4007
Mailing Address - Country:US
Mailing Address - Phone:406-600-2554
Mailing Address - Fax:
Practice Address - Street 1:1609 W BABCOCK ST
Practice Address - Street 2:SUITE E
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4007
Practice Address - Country:US
Practice Address - Phone:406-600-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional