| Tom Gutschenritter Lcsw | |
|
307 1st Ave E Ste 5 Kalispell MT 59901-4965 | |
| (406) 781-8581 | |
| Not Available |
| Full Name | Tom Gutschenritter Lcsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 1st Ave E Ste 5, Kalispell, Montana |
| Authorized Official Name and Position | Tom Gutschenritter (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4067818581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Gutschenritter Lcsw 307 1st Ave E Ste 5 Kalispell MT 59901-4965 Ph: () - | Tom Gutschenritter Lcsw 307 1st Ave E Ste 5 Kalispell MT 59901-4965 Ph: (406) 781-8581 |
| NPI Number | 1124770276 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 5294128286 |
|---|---|
| Medicare Enrollment ID | O20220216000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124770276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tom Gutschenritter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992109375 PECOS PAC ID: 1355619420 Enrollment ID: I20170613002162 |
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