| Susan Weaselhead, LCPC | |
|
6 13th Ave E, Polson, MT 59860-5315 | |
| (406) 883-5680 | |
| (406) 883-8910 |
| Full Name | Susan Weaselhead |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6 13th Ave E, Polson, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306296249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 16220 (Montana) | Primary |
| 101YP2500X | Counselor - Professional | 16620 (Montana) | Secondary |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Weaselhead, LCPC Po Box 336, St Ignatius, MT 59865-0336 Ph: (406) 529-0582 | Susan Weaselhead, LCPC 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
April Brewer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Ms. Karen Ann Mcmullen, M.ED. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 1st St W, Suite 202, Polson, MT 59860 Phone: 406-261-9321 Fax: 406-887-9948 | |
Lesley E. Dubay, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Theresa Oakland, M.S. LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312 | |
Shasta Baum-strait, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 36919 Fulkerson Ln, Polson, MT 59860 Phone: 406-546-3224 | |
Katie Bateman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 815-451-9393 Fax: 406-883-8448 |