| Cabinet Mountain Counseling Pc | |
|
109 Spruce St Thompson Falls MT 59873-9426 | |
| (406) 827-0345 | |
| Not Available |
| Full Name | Cabinet Mountain Counseling Pc |
|---|---|
| Speciality | Social Worker |
| Location | 109 Spruce St, Thompson Falls, Montana |
| Authorized Official Name and Position | Raoul Anthony Ribeiro (PRESIDENT) |
| Authorized Official Contact | 4068270345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabinet Mountain Counseling Pc 109 Spruce St Thompson Falls MT 59873-9426 Ph: (406) 827-0345 | Cabinet Mountain Counseling Pc 109 Spruce St Thompson Falls MT 59873-9426 Ph: (406) 827-0345 |
| NPI Number | 1174172621 |
|---|---|
| Provider Enumeration Date | 09/07/2019 |
| Last Update Date | 09/07/2019 |
| Medicare PECOS PAC ID | 3870822711 |
|---|---|
| Medicare Enrollment ID | O20190903000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174172621 | NPI | - | NPPES |
| 1972841666 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Raoul A Ribeiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972841666 PECOS PAC ID: 2466729710 Enrollment ID: I20170517001470 |
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