| Colleen D Johnson, Counseling, Llc | |
|
305 1st Ave W Columbia Falls MT 59912-3625 | |
| (406) 250-3845 | |
| (406) 892-4606 |
| Full Name | Colleen D Johnson, Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 305 1st Ave W, Columbia Falls, Montana |
| Authorized Official Name and Position | Colleen M. Johnson (OWNER/EMPLOYEE) |
| Authorized Official Contact | 4062503845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen D Johnson, Counseling, Llc Po Box 584 Columbia Falls MT 59912-0584 Ph: (406) 250-3845 | Colleen D Johnson, Counseling, Llc 305 1st Ave W Columbia Falls MT 59912-3625 Ph: (406) 250-3845 |
| NPI Number | 1225503139 |
|---|---|
| Provider Enumeration Date | 10/06/2018 |
| Last Update Date | 10/06/2018 |
| Medicare PECOS PAC ID | 2365782679 |
|---|---|
| Medicare Enrollment ID | O20190325001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225503139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colleen Depuydt Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376976787 PECOS PAC ID: 6901030402 Enrollment ID: I20131017000464 |
| Provider Name | Colleen Depuydt Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376976787 PECOS PAC ID: 6901030402 Enrollment ID: I20190325001506 |
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