| Derrick Robert Moody, | |
|
153 Wedgewood Ln, Kalispell, MT 59901-2643 | |
| (406) 290-9194 | |
| Not Available |
| Full Name | Derrick Robert Moody |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 153 Wedgewood Ln, Kalispell, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134931611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-77250 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Robert Moody, 9705 Lost Prairie Rd, Marion, MT 59925-9844 Ph: (406) 601-8909 | Derrick Robert Moody, 153 Wedgewood Ln, Kalispell, MT 59901-2643 Ph: (406) 290-9194 |
Angela Otto, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 1st Ave W, Kalispell, MT 59901 Phone: 406-607-4971 | |
Vicki Lynn Kimball, Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 E Center St, Suite 301, Kalispell, MT 59901 Phone: 406-300-1369 | |
Tazia Wisdom, PCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 1st Ave W Ste 210, Kalispell, MT 59901 Phone: 504-357-1773 | |
Tara L Trotter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 | |
Richard Dale Bartlett, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 2nd St W, Kalispell, MT 59901 Phone: 406-257-5046 Fax: 406-257-5092 | |
Daniel L. Gregerson, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 690 N Meridian Rd Ste 204, Kalispell, MT 59901 Phone: 406-249-5611 | |
Jason Andrew Heisey, Counselor Medicare: Medicare Enrolled Practice Location: 200 Heritage Way, Kalispell, MT 59901 Phone: 406-756-3950 Fax: 406-756-3957 |