| Four Corners Counseling, Llc | |
|
2413 W Main St Ste 1 Bozeman MT 59718-3807 | |
| (406) 219-1461 | |
| Not Available |
| Full Name | Four Corners Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2413 W Main St Ste 1, Bozeman, Montana |
| Authorized Official Name and Position | Colleen Shaler (OWNER) |
| Authorized Official Contact | 6169025581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Counseling, Llc 2413 W Main St Ste 1 Bozeman MT 59718-3807 Ph: (406) 219-1461 | Four Corners Counseling, Llc 2413 W Main St Ste 1 Bozeman MT 59718-3807 Ph: (406) 219-1461 |
| NPI Number | 1427697887 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Medicare PECOS PAC ID | 4082041082 |
|---|---|
| Medicare Enrollment ID | O20200304002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427697887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colleen Mckay Shaler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982165627 PECOS PAC ID: 5991132995 Enrollment ID: I20200304002330 |
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