Clark Fork Behavioral Health Inc. | |
913 Sw Higgins Ave Ste 102 Missoula MT 59803-1423 | |
(406) 431-7764 | |
(406) 493-1260 |
Full Name | Clark Fork Behavioral Health Inc. |
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Speciality | Counselor - Professional |
Location | 913 Sw Higgins Ave Ste 102, Missoula, Montana |
Authorized Official Name and Position | Cody Bryant (PRESIDENT) |
Authorized Official Contact | 4064317764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clark Fork Behavioral Health Inc. 913 Sw Higgins Ave Ste 102 Missoula MT 59803-1423 Ph: (406) 431-7764 | Clark Fork Behavioral Health Inc. 913 Sw Higgins Ave Ste 102 Missoula MT 59803-1423 Ph: (406) 431-7764 |
NPI Number | 1801668686 |
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Provider Enumeration Date | 10/25/2023 |
Last Update Date | 10/25/2023 |
Certification Date | 10/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801668686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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