| Kristina L Dukart Lcsw Llc | |
|
2001 11th Ave Ste 18 Helena MT 59601-4881 | |
| (406) 546-4431 | |
| Not Available |
| Full Name | Kristina L Dukart Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2001 11th Ave Ste 18, Helena, Montana |
| Authorized Official Name and Position | Kristina Dukart (OWNER/PRESIDENT) |
| Authorized Official Contact | 4065464431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina L Dukart Lcsw Llc 2001 11th Ave Ste 18 Helena MT 59601-4881 Ph: (406) 546-4431 | Kristina L Dukart Lcsw Llc 2001 11th Ave Ste 18 Helena MT 59601-4881 Ph: (406) 546-4431 |
| NPI Number | 1154948875 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 5092139261 |
|---|---|
| Medicare Enrollment ID | O20200721001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154948875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristina L Dukart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225528946 PECOS PAC ID: 6901220177 Enrollment ID: I20200721001928 |
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