| Dandelion Counseling, Llc | |
|
1716 W Main St Ste 8c Bozeman MT 59715-6821 | |
| (406) 813-0239 | |
| Not Available |
| Full Name | Dandelion Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1716 W Main St Ste 8c, Bozeman, Montana |
| Authorized Official Name and Position | Nancy Jennings (BILLING MANAGER) |
| Authorized Official Contact | 4065794666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandelion Counseling, Llc Po Box 102 Gallatin Gateway MT 59730-0102 Ph: (406) 813-0239 | Dandelion Counseling, Llc 1716 W Main St Ste 8c Bozeman MT 59715-6821 Ph: (406) 813-0239 |
| NPI Number | 1336709476 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 9436570322 |
|---|---|
| Medicare Enrollment ID | O20200601002856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336709476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vanessa Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336656271 PECOS PAC ID: 1052652203 Enrollment ID: I20190416002222 |
| Provider Name | Donna Y Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053989244 PECOS PAC ID: 9335543644 Enrollment ID: I20210809003832 |
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