Ms Pamela C Wilson, LCPC | |
2809 Great Northern Loop Ste 210-5, Missoula, MT 59808-1749 | |
(406) 360-8470 | |
Not Available |
Full Name | Ms Pamela C Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2809 Great Northern Loop Ste 210-5, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144656455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4654 (Montana) | Primary |
Entity Name | Medicine Lodge Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619465788 PECOS PAC ID: 7719320480 Enrollment ID: O20240209000737 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela C Wilson, LCPC 14098 Jenny Ann Ct Unit A, Missoula, MT 59808-5386 Ph: (406) 360-8470 | Ms Pamela C Wilson, LCPC 2809 Great Northern Loop Ste 210-5, Missoula, MT 59808-1749 Ph: (406) 360-8470 |
Ms. Sue Ellen Silverberg, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 230 S Davis St, Missoula, MT 59801 Phone: 406-728-5866 | |
Ms. Linda Faye Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4123 S 7th St W, Missoula, MT 59804 Phone: 406-274-2733 | |
James Walter Thompson Iv, PCLC, LSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 Fairview Ave Ste A, Missoula, MT 59801 Phone: 406-214-3810 | |
Mr. Brooks William Baer, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 902 N Orange St, Suite 102, Missoula, MT 59802 Phone: 406-327-3034 Fax: 406-327-3385 | |
Clare Maguire, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 S 3rd St W, Missoula, MT 59804 Phone: 406-360-0443 | |
Krista Snyder, PCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 Sw Higgins Ave Ste 102, Missoula, MT 59803 Phone: 406-544-5902 | |
Mr. David L. Donaldson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Wyoming St, Missoula, MT 59801 Phone: 406-532-9800 Fax: 406-541-3032 |