| Mission Valley Psychotherapy | |
|
220 Main St Polson MT 59860-2167 | |
| (626) 869-6069 | |
| Not Available |
| Full Name | Mission Valley Psychotherapy |
|---|---|
| Speciality | Counselor |
| Location | 220 Main St, Polson, Montana |
| Authorized Official Name and Position | Kristen Zimmermann (COUNSELOR) |
| Authorized Official Contact | 4253082107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Valley Psychotherapy 48901 Us Highway 93 Ste A-270 Polson MT 59860-7472 Ph: (425) 308-2107 | Mission Valley Psychotherapy 220 Main St Polson MT 59860-2167 Ph: (626) 869-6069 |
| NPI Number | 1063213163 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Medicare PECOS PAC ID | 6608376454 |
|---|---|
| Medicare Enrollment ID | O20250826000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063213163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| Provider Name | Kristen Arline Zimmermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740090539 PECOS PAC ID: 7416457262 Enrollment ID: I20250910000031 |
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