| Emily Wish, Llc | |
|
600 Central Ave Great Falls MT 59401-3179 | |
| (575) 749-2057 | |
| Not Available |
| Full Name | Emily Wish, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 Central Ave, Great Falls, Montana |
| Authorized Official Name and Position | Crystal Kirschman (THERAPIST) |
| Authorized Official Contact | 5757492057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Wish, Llc 600 Central Ave Great Falls MT 59401-3179 Ph: () - | Emily Wish, Llc 600 Central Ave Great Falls MT 59401-3179 Ph: (575) 749-2057 |
| NPI Number | 1386009876 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386009876 | NPI | - | NPPES |
| 09977325 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12475 (Montana) | Primary |
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