| Womens Counseling Center P.c. | |
|
1600 South Ave W # A Missoula MT 59801-7804 | |
| (406) 728-8388 | |
| Not Available |
| Full Name | Womens Counseling Center P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1600 South Ave W # A, Missoula, Montana |
| Authorized Official Name and Position | Gus Adams (OFFICE MANAGER) |
| Authorized Official Contact | 4068642808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Womens Counseling Center P.c. 35510 Eds Creek Rd Alberton MT 59820-9441 Ph: (406) 728-8388 | Womens Counseling Center P.c. 1600 South Ave W # A Missoula MT 59801-7804 Ph: (406) 728-8388 |
| NPI Number | 1093847865 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234123746 |
|---|---|
| Medicare Enrollment ID | O20201013000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093847865 | NPI | - | NPPES |
| 0503013 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 473 (Montana) | Primary |
| Provider Name | Diane M Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730140690 PECOS PAC ID: 5597759019 Enrollment ID: I20041019001141 |
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