| Red Willow Counseling, Pc | |
|
126 E Broadway St Ste 10 Missoula MT 59802-4566 | |
| (406) 239-5494 | |
| Not Available |
| Full Name | Red Willow Counseling, Pc |
|---|---|
| Speciality | Counselor |
| Location | 126 E Broadway St Ste 10, Missoula, Montana |
| Authorized Official Name and Position | Kerry Maier (OWNER/PROVIDER) |
| Authorized Official Contact | 4062395494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Willow Counseling, Pc 126 E Broadway St Ste 10 Missoula MT 59802-4566 Ph: (406) 239-5494 | Red Willow Counseling, Pc 126 E Broadway St Ste 10 Missoula MT 59802-4566 Ph: (406) 239-5494 |
| NPI Number | 1548039761 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 9830537570 |
|---|---|
| Medicare Enrollment ID | O20240401002263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548039761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kerry S. Maier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154469419 PECOS PAC ID: 9931547676 Enrollment ID: I20240401002248 |
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