| Whitney Rose, Lcsw, Pllc | |
|
2423 Mullan Rd Missoula MT 59808-1827 | |
| (406) 672-5004 | |
| (406) 830-3156 |
| Full Name | Whitney Rose, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2423 Mullan Rd, Missoula, Montana |
| Authorized Official Name and Position | Whitney Rose (OUTPATIENT THERAPIST/LCSW) |
| Authorized Official Contact | 4066725004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Rose, Lcsw, Pllc 2 Kasota Ct Missoula MT 59803-1257 Ph: (406) 672-5004 | Whitney Rose, Lcsw, Pllc 2423 Mullan Rd Missoula MT 59808-1827 Ph: (406) 672-5004 |
| NPI Number | 1366085219 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366085219 | NPI | - | NPPES |
| 1174977599 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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