Brenda Kneeland, LCPC, LAC | |
519 Main St, Miles City, MT 59301-3037 | |
(406) 951-8040 | |
Not Available |
Full Name | Brenda Kneeland |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 519 Main St, Miles City, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598129413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1324 (Montana) | Secondary |
101YP2500X | Counselor - Professional | 13852 (Montana) | Primary |
Entity Name | Eastern Montana Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992786784 PECOS PAC ID: 9032155601 Enrollment ID: O20050705000923 |
Mailing Address | Practice Location Address |
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Brenda Kneeland, LCPC, LAC Po Box 441, Miles City, MT 59301-0441 Ph: (406) 951-8040 | Brenda Kneeland, LCPC, LAC 519 Main St, Miles City, MT 59301-3037 Ph: (406) 951-8040 |
Miss Allison J Campbell, MS ,LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929 | |
Amanda Dusatko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929 Fax: 406-234-2928 | |
Frank Vonbannisseht, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-0234 Fax: 406-234-0235 | |
Sara J Small, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Wilson St, Miles City, MT 59301 Phone: 406-234-2929 | |
Kristi Lee Moore, LAC Counselor Medicare: Medicare Enrolled Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-1687 | |
Darcy Glade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 N 8th St, Miles City, MT 59301 Phone: 406-951-0695 | |
Cynthia A Raye, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2508 Wilson St, Miles City, MT 59301 Phone: 406-234-1687 |