| Logan Health School Based Mental Health | |
|
200 Heritage Way Kalispell MT 59901-3146 | |
| (406) 756-3950 | |
| (406) 756-3957 |
| Full Name | Logan Health School Based Mental Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 Heritage Way, Kalispell, Montana |
| Authorized Official Name and Position | William David Gibson (CHIEF LEGAL OFFICER AND SECRETARY) |
| Authorized Official Contact | 4067521724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Health School Based Mental Health 200 Heritage Way Kalispell MT 59901-3146 Ph: (406) 756-3950 | Logan Health School Based Mental Health 200 Heritage Way Kalispell MT 59901-3146 Ph: (406) 756-3950 |
| NPI Number | 1124769625 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124769625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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