Mr Rob Degolier, LAC | |
29 1/2 W Cottonwood Dr, Kalispell, MT 59901-2800 | |
(406) 885-3726 | |
Not Available |
Full Name | Mr Rob Degolier |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 29 1/2 W Cottonwood Dr, 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 |
---|---|---|---|
1851422299 | NPI | - | NPPES |
0000076391 | Other | MT | BLUE CROSS BLUE SHIELD |
0320372 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1143 (Montana) | Primary |
Entity Name | Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144251885 PECOS PAC ID: 3072416676 Enrollment ID: O20040130000505 |
Mailing Address | Practice Location Address |
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Mr Rob Degolier, LAC Po Box 10926, Kalispell, MT 59904-3926 Ph: (406) 885-3726 | Mr Rob Degolier, LAC 29 1/2 W Cottonwood Dr, Kalispell, MT 59901-2800 Ph: (406) 885-3726 |
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: 690 N Meridian Rd Ste 204, Kalispell, MT 59901 Phone: 406-249-5611 | |
Jason Andrew Heisey, Counselor Medicare: Medicare Enrolled 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 |