Brave Journey Pllc | |
314 1st St E Ste 204 Polson MT 59860-2100 | |
(630) 219-8019 | |
Not Available |
Full Name | Brave Journey Pllc |
---|---|
Speciality | Social Worker |
Location | 314 1st St E Ste 204, Polson, Montana |
Authorized Official Name and Position | Alina Barthuly (CREDENTIALING) |
Authorized Official Contact | 4066550980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brave Journey Pllc 314 1st St E Ste 204 Polson MT 59860-2100 Ph: (630) 219-8019 | Brave Journey Pllc 314 1st St E Ste 204 Polson MT 59860-2100 Ph: (630) 219-8019 |
NPI Number | 1821560970 |
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Provider Enumeration Date | 12/28/2018 |
Last Update Date | 08/21/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821560970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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