| Dogwood Counseling Pllc | |
|
302 1st St W Ste 104 Polson MT 59860-2602 | |
| (406) 210-0035 | |
| (406) 635-8695 |
| Full Name | Dogwood Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 302 1st St W Ste 104, Polson, Montana |
| Authorized Official Name and Position | Christina K Newell Wyatt (OWNER) |
| Authorized Official Contact | 4062100035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Counseling Pllc Po Box 1382 Polson MT 59860-1382 Ph: (406) 210-0035 | Dogwood Counseling Pllc 302 1st St W Ste 104 Polson MT 59860-2602 Ph: (406) 210-0035 |
| NPI Number | 1215646971 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 6103283270 |
|---|---|
| Medicare Enrollment ID | O20230605002414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215646971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christina Newell Wyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154503134 PECOS PAC ID: 4183029036 Enrollment ID: I20230605002500 |
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