| Kristy Broussard, | |
|
2282 Us Highway 93 S Ste A, Kalispell, MT 59901-8499 | |
| (406) 890-2570 | |
| Not Available |
| Full Name | Kristy Broussard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2282 Us Highway 93 S Ste A, Kalispell, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265351175 | NPI | - | NPPES |
| 1851906895 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-ACLC-LIC-87972 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Broussard, 2282 Us Highway 93 S Ste A, Kalispell, MT 59901-8499 Ph: (406) 890-2570 | Kristy Broussard, 2282 Us Highway 93 S Ste A, Kalispell, MT 59901-8499 Ph: (406) 890-2570 |
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: May Accept Medicare Assignments Practice Location: 1935 3rd Ave E, 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 |
Keyawna Janice Larson, SWLC, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Meridian Ct Apt A201, Kalispell, MT 59901 Phone: 406-407-4513 |
Daniel L. Gregerson, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 690 N Meridian Rd Ste 204, Kalispell, MT 59901 Phone: 406-249-5611 |