| Cristina Fowler, Llc | |
|
1305 11th Ave Helena MT 59601-3919 | |
| (406) 603-0211 | |
| Not Available |
| Full Name | Cristina Fowler, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1305 11th Ave, Helena, Montana |
| Authorized Official Name and Position | Cristina Fowler (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4066030211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Fowler, Llc 1305 11th Ave Helena MT 59601-3919 Ph: (406) 603-0211 | Cristina Fowler, Llc 1305 11th Ave Helena MT 59601-3919 Ph: (406) 603-0211 |
| NPI Number | 1689219941 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689219941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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