| Therapeutic Mentoring | |
|
140 Cherry St Ste 202 Hamilton MT 59840-3517 | |
| (406) 531-8846 | |
| Not Available |
| Full Name | Therapeutic Mentoring |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 140 Cherry St, Hamilton, Montana |
| Authorized Official Name and Position | Thaddeus J Widmer (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4065318846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Mentoring Po Box 676 Hamilton MT 59840-0676 Ph: (406) 531-8846 | Therapeutic Mentoring 140 Cherry St Ste 202 Hamilton MT 59840-3517 Ph: (406) 531-8846 |
| NPI Number | 1942650601 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942650601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 860 (Montana) | Primary |
| 1041C0700X | Social Worker - Clinical | 872 (Montana) | Secondary |
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