| Granite Counseling Of Montana, Llc | |
|
32 Campus Dr Missoula MT 59812-0003 | |
| (406) 360-3157 | |
| Not Available |
| Full Name | Granite Counseling Of Montana, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 32 Campus Dr, Missoula, Montana |
| Authorized Official Name and Position | Sara Anne Polanchek (OWNER/CLINICIAN) |
| Authorized Official Contact | 4063603157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Counseling Of Montana, Llc 4010 Heritage Way Missoula MT 59802-3050 Ph: (406) 360-3157 | Granite Counseling Of Montana, Llc 32 Campus Dr Missoula MT 59812-0003 Ph: (406) 360-3157 |
| NPI Number | 1215698907 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215698907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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