Kintsugi Counseling Pllc | |
1601 2nd Ave N Ste 200a Great Falls MT 59401-3243 | |
(406) 868-0228 | |
(877) 828-5889 |
Full Name | Kintsugi Counseling Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1601 2nd Ave N Ste 200a, Great Falls, Montana |
Authorized Official Name and Position | Amanda Marie Walker (THERAPIST) |
Authorized Official Contact | 4068680228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kintsugi Counseling Pllc 1601 2nd Ave N Ste 200a Great Falls MT 59401-3243 Ph: (406) 868-0227 | Kintsugi Counseling Pllc 1601 2nd Ave N Ste 200a Great Falls MT 59401-3243 Ph: (406) 868-0228 |
NPI Number | 1356910210 |
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Provider Enumeration Date | 06/23/2021 |
Last Update Date | 06/23/2021 |
Certification Date | 06/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356910210 | NPI | - | NPPES |
11111 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
282J00000X | Religious Nonmedical Health Care Institution | (* (Not Available)) | Secondary |
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