Kristin E Fox Lcsw Llc | |
308 W Pine St # 105 Missoula MT 59802-4120 | |
(406) 926-5880 | |
Not Available |
Full Name | Kristin E Fox Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 308 W Pine St # 105, Missoula, Montana |
Authorized Official Name and Position | Kristin E Fox (LCSW/OWNER) |
Authorized Official Contact | 4069265880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kristin E Fox Lcsw Llc Po Box 8951 Missoula MT 59807-8951 Ph: (406) 926-5880 | Kristin E Fox Lcsw Llc 308 W Pine St # 105 Missoula MT 59802-4120 Ph: (406) 926-5880 |
NPI Number | 1932849148 |
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Provider Enumeration Date | 03/29/2022 |
Last Update Date | 04/08/2022 |
Certification Date | 04/08/2022 |
Medicare PECOS PAC ID | 8325425549 |
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Medicare Enrollment ID | O20220509002570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932849148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kristin E Fox |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639832041 PECOS PAC ID: 9234516451 Enrollment ID: I20220509002578 |
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