Kristen Enblom, LPCC | |
1124 Helena Ave, Helena, MT 59601-3559 | |
(406) 465-9990 | |
Not Available |
Full Name | Kristen Enblom |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1124 Helena Ave, Helena, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326320904 | NPI | - | NPPES |
1477745370 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 32809 (Montana) | Primary |
101YP2500X | Counselor - Professional | 726-8-15-12-214 (North Dakota) | Secondary |
Entity Name | Missouri River Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558115345 PECOS PAC ID: 6204278948 Enrollment ID: O20240524003258 |
Mailing Address | Practice Location Address |
---|---|
Kristen Enblom, LPCC 1124 Helena Ave, Helena, MT 59601-3559 Ph: (406) 465-9990 | Kristen Enblom, LPCC 1124 Helena Ave, Helena, MT 59601-3559 Ph: (406) 465-9990 |
Rebekah N Coonen, LCPC, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1930 9th Ave, Helena, MT 59601 Phone: 406-457-0000 Fax: 406-500-2128 | |
Karrie J Bird, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Saddle Dr, Helena, MT 59601 Phone: 406-465-5938 Fax: 406-449-8828 | |
Mr. Kevin Wyse, M.ED., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Medical Park Dr, Helena, MT 59601 Phone: 406-266-4903 Fax: 406-266-4904 | |
Meghan Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2755 Colonial Dr, Helena, MT 59601 Phone: 406-444-7500 | |
Allison Fae Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 Jerome Pl, Helena, MT 59601 Phone: 406-459-6238 | |
Jennifer Ann Gantz, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 S Last Chance Gulch, Helena, MT 59601 Phone: 406-443-2343 Fax: 406-443-5490 | |
Mr. Jeremy Royal, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3342 Evening Star Dr, Helena, MT 59602 Phone: 406-792-6472 |