Cory Kohm, LCPC | |
160 Heritage Way Ste 102, Kalispell, MT 59901-3127 | |
(406) 758-3244 | |
(406) 758-5166 |
Full Name | Cory Kohm |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 160 Heritage Way Ste 102, Kalispell, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104368992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | BBH-LCPC-LIC-19497 (Montana) | Primary |
101YP2500X | Counselor - Professional | (Montana) | Secondary |
Entity Name | Kalispell Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
Mailing Address | Practice Location Address |
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Cory Kohm, LCPC 410 Windward Way, Kalispell, MT 59901-2680 Ph: () - | Cory Kohm, LCPC 160 Heritage Way Ste 102, Kalispell, MT 59901-3127 Ph: (406) 758-3244 |
Angela Otto, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 1st Ave W, Kalispell, MT 59901 Phone: 406-607-4971 | |
Vicki Lynn Kimball, Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 E Center St, Suite 301, Kalispell, MT 59901 Phone: 406-300-1369 | |
Tara L Trotter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 | |
Richard Dale Bartlett, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 2nd St W, Kalispell, MT 59901 Phone: 406-257-5046 Fax: 406-257-5092 | |
Daniel L. Gregerson, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1860 Us Highway 93 N, Kalispell, MT 59901 Phone: 406-201-8397 | |
Jason Andrew Heisey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 | |
Stephen Marten, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Business Center Loop, Kalispell, MT 59901 Phone: 406-730-3454 |