Equinox Counseling Pllc | |
300 W Broadway St Missoula MT 59802-4126 | |
(406) 370-5162 | |
Not Available |
Full Name | Equinox Counseling Pllc |
---|---|
Speciality | Social Worker |
Location | 300 W Broadway St, Missoula, Montana |
Authorized Official Name and Position | Jennifer Kate Smith (OWNER) |
Authorized Official Contact | 4063705162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Equinox Counseling Pllc Po Box 8011 Missoula MT 59807-8011 Ph: (406) 370-5162 | Equinox Counseling Pllc 300 W Broadway St Missoula MT 59802-4126 Ph: (406) 370-5162 |
NPI Number | 1093428401 |
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Provider Enumeration Date | 12/30/2022 |
Last Update Date | 12/30/2022 |
Certification Date | 12/30/2022 |
Medicare PECOS PAC ID | 7012380504 |
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Medicare Enrollment ID | O20230303000447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093428401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Jennifer Kate Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295381994 PECOS PAC ID: 8921471418 Enrollment ID: I20230303000506 |
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