Thomas Dan Inc. | |
303 N Broadway Ste 703 Billings MT 59101-1255 | |
(406) 861-3624 | |
Not Available |
Full Name | Thomas Dan Inc. |
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Speciality | Counselor |
Location | 303 N Broadway Ste 703, Billings, Montana |
Authorized Official Name and Position | Daniel Cerise (OWNER) |
Authorized Official Contact | 4068613624 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas Dan Inc. 303 N Broadway Ste 703 Billings MT 59101-1255 Ph: (406) 861-3624 | Thomas Dan Inc. 303 N Broadway Ste 703 Billings MT 59101-1255 Ph: (406) 861-3624 |
NPI Number | 1457196347 |
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Provider Enumeration Date | 07/01/2024 |
Last Update Date | 07/01/2024 |
Certification Date | 07/01/2024 |
Medicare PECOS PAC ID | 7315485562 |
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Medicare Enrollment ID | O20240819002988 |
Identifier | Type | State | Issuer |
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1457196347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Daniel J Cerise |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952525339 PECOS PAC ID: 9931647187 Enrollment ID: I20240925004604 |
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