| Pamela Greskowiak | |
|
30 5th St E Ste 101 Kalispell MT 59901-4970 | |
| (406) 257-1206 | |
| Not Available |
| Full Name | Pamela Greskowiak |
|---|---|
| Speciality | Counselor - Professional |
| Location | 30 5th St E Ste 101, Kalispell, Montana |
| Authorized Official Name and Position | Pamela Greskowiak (DIRECTOR) |
| Authorized Official Contact | 4062571206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Greskowiak 1115 7th Ave E Kalispell MT 59901-5830 Ph: () - | Pamela Greskowiak 30 5th St E Ste 101 Kalispell MT 59901-4970 Ph: (406) 257-1206 |
| NPI Number | 1174008155 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174008155 | NPI | - | NPPES |
| BBH-LCPC-LIC--15782 | Medicaid | MT | |
| 7292082 | Medicaid | MT | |
| 12794581 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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