Susan Weaselhead, LCPC | |
6 13th Ave E, Polson, MT 59860-5315 | |
(406) 883-5680 | |
(406) 883-8910 |
Full Name | Susan Weaselhead |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6 13th Ave E, 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 |
---|---|---|---|
1306296249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 16620 (Montana) | Secondary |
101YP2500X | Counselor - Professional | 16220 (Montana) | Primary |
Entity Name | Providence St Joseph Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
Mailing Address | Practice Location Address |
---|---|
Susan Weaselhead, LCPC Po Box 336, St Ignatius, MT 59865-0336 Ph: (406) 529-0582 | Susan Weaselhead, LCPC 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
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 | |
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 |