| Mitch Guerette Lcsw Llc | |
|
1001 Sw Higgins Ave Ste 206 Missoula MT 59803-1340 | |
| (406) 381-3473 | |
| Not Available |
| Full Name | Mitch Guerette Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1001 Sw Higgins Ave Ste 206, Missoula, Montana |
| Authorized Official Name and Position | Mitch Guerette (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4063813473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitch Guerette Lcsw Llc 1001 Sw Higgins Ave Ste 206 Missoula MT 59803-1340 Ph: () - | Mitch Guerette Lcsw Llc 1001 Sw Higgins Ave Ste 206 Missoula MT 59803-1340 Ph: (406) 381-3473 |
| NPI Number | 1720569213 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/23/2018 |
| Medicare PECOS PAC ID | 4284978008 |
|---|---|
| Medicare Enrollment ID | O20181205003057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720569213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1059 (Montana) | Primary |
| Provider Name | Mitch Guerette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518389881 PECOS PAC ID: 9638399116 Enrollment ID: I20141003002246 |
| Provider Name | Erica M Sandiland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831511195 PECOS PAC ID: 1052649738 Enrollment ID: I20190819002811 |
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