Dogwood Counseling Pllc | |
2 6th Ave E Polson MT 59860-2726 | |
(828) 634-1806 | |
Not Available |
Full Name | Dogwood Counseling Pllc |
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Speciality | Clinic/Center |
Location | 2 6th Ave E, Polson, Montana |
Authorized Official Name and Position | Christina Newell Wyatt (OWNER) |
Authorized Official Contact | 8286341806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dogwood Counseling Pllc Po Box 1705 Whitefish MT 59937-1705 Ph: (634) 180-6828 | Dogwood Counseling Pllc 2 6th Ave E Polson MT 59860-2726 Ph: (828) 634-1806 |
NPI Number | 1215646971 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 12/27/2022 |
Medicare PECOS PAC ID | 6103283270 |
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Medicare Enrollment ID | O20230605002414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215646971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Christina Newell Wyatt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154503134 PECOS PAC ID: 4183029036 Enrollment ID: I20230605002500 |
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