Ms Kathleen R Ross, LAC | |
308 Mission Drive, St. Ignatius, MT 59865 | |
(406) 745-3525 | |
(406) 745-4409 |
Full Name | Ms Kathleen R Ross |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 308 Mission Drive, St. Ignatius, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508115205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC-LAC-LIC-2594 (Montana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen R Ross, LAC P.o. Box 880, St. Ignatius, MT 59865 Ph: (406) 745-3525 | Ms Kathleen R Ross, LAC 308 Mission Drive, St. Ignatius, MT 59865 Ph: (406) 745-3525 |
Autumn Marie Diller, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1 Woodcocks Way, St. Ignatius, MT 59865 Phone: 406-745-3525 | |
James Pittaway, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 Mission Drive, St. Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-4409 |