| Stefan C. Bean, Pc | |
|
40 2nd St E Suite 212 Kalispell MT 59901-6110 | |
| (406) 253-0711 | |
| Not Available |
| Full Name | Stefan C. Bean, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 40 2nd St E, Kalispell, Montana |
| Authorized Official Name and Position | Stefan Carter Bean (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4062530711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan C. Bean, Pc Po Box 532 Kalispell MT 59903-0532 Ph: (406) 253-0711 | Stefan C. Bean, Pc 40 2nd St E Suite 212 Kalispell MT 59901-6110 Ph: (406) 253-0711 |
| NPI Number | 1023482403 |
|---|---|
| Provider Enumeration Date | 11/22/2015 |
| Last Update Date | 11/22/2015 |
| Medicare PECOS PAC ID | 5193026284 |
|---|---|
| Medicare Enrollment ID | O20151215000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023482403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 926 (Montana) | Primary |
| Provider Name | Stefan C Bean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710207683 PECOS PAC ID: 1153516604 Enrollment ID: I20101110001028 |
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