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2735 Colonial Dr Ste A Helena MT 59601-4971 | |
| (406) 204-2151 | |
| (406) 204-2154 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2735 Colonial Dr Ste A, Helena, Montana |
| Authorized Official Name and Position | Krista David (MEMBER) |
| Authorized Official Contact | 4062042151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2735 Colonial Dr Ste A Helena MT 59601-4971 Ph: (406) 204-2151 | 2735 Colonial Dr Ste A Helena MT 59601-4971 Ph: (406) 204-2151 |
| NPI Number | 1578951307 |
|---|---|
| Provider Enumeration Date | 01/01/2015 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578951307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MED-PHYS-LIC-10752 (Montana) | Primary |
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