| Mountain Root Healing | |
|
307 1st Ave E Ste 15 Kalispell MT 59901-4965 | |
| (562) 519-8492 | |
| Not Available |
| Full Name | Mountain Root Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 307 1st Ave E Ste 15, Kalispell, Montana |
| Authorized Official Name and Position | Kathren Gonzalez (MEMBER) |
| Authorized Official Contact | 5625198492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Root Healing 122 W Nicklaus Ave Kalispell MT 59901-2773 Ph: (562) 519-8492 | Mountain Root Healing 307 1st Ave E Ste 15 Kalispell MT 59901-4965 Ph: (562) 519-8492 |
| NPI Number | 1629617568 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629617568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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