| Willow River Counseling LLC | |
|
115 Main St Kalispell MT 59901-4451 | |
| (406) 260-2871 | |
| Not Available |
| Full Name | Willow River Counseling LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 115 Main St, Kalispell, Montana |
| Authorized Official Name and Position | Jennifer E Dickinson (OWNER) |
| Authorized Official Contact | 4062602871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow River Counseling LLC 115 Main St Kalispell MT 59901-4451 Ph: (406) 260-2871 | Willow River Counseling LLC 115 Main St Kalispell MT 59901-4451 Ph: (406) 260-2871 |
| NPI Number | 1912705146 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 7214448794 |
|---|---|
| Medicare Enrollment ID | O20250612003857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912705146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | Jennifer E Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114664349 PECOS PAC ID: 3870025265 Enrollment ID: I20241009004252 |
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