| Marissa Mae Ilac, LCPC | |
|
402 1st St. E. #205, Polson, MT 59860 | |
| (406) 260-1716 | |
| Not Available |
| Full Name | Marissa Mae Ilac |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 402 1st St. E. #205, Polson, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497339493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-48659 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Mae Ilac, LCPC Po Box 731, Hot Springs, MT 59845-0731 Ph: (406) 260-1716 | Marissa Mae Ilac, LCPC 402 1st St. E. #205, Polson, MT 59860 Ph: (406) 260-1716 |
April Brewer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Ms. Karen Ann Mcmullen, M.ED. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 1st St W, Suite 202, Polson, MT 59860 Phone: 406-261-9321 Fax: 406-887-9948 | |
Lesley E. Dubay, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Theresa Oakland, M.S. LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Susan Weaselhead, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 | |
Shasta Baum-strait, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36919 Fulkerson Ln, Polson, MT 59860 Phone: 406-546-3224 | |
Katie Bateman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 815-451-9393 Fax: 406-883-8448 |