Provider Demographics
NPI:1912261256
Name:REINHARD-FERRESE, BRANDI (R-DMT, LCPC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:REINHARD-FERRESE
Suffix:
Gender:F
Credentials:R-DMT, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 GOLDEN GATE AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718
Mailing Address - Country:US
Mailing Address - Phone:406-522-0410
Mailing Address - Fax:406-587-2292
Practice Address - Street 1:1940 W DICKERSON ST STE 102
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6851
Practice Address - Country:US
Practice Address - Phone:406-522-0410
Practice Address - Fax:406-587-2292
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional