Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersKATHLEEN M WATKINS B.A. LAC
Addiction Substance Use Disorder
Polson, Montana
Provider NPI: 1962437293
Provider Information:KATHLEEN M WATKINS B.A. LAC
Gender: F
Not Sole Proprietor
Practice Location:
802 MAIN ST STE C POLSON, MT 59860 US
Tel: 406-883-7310 Fax: 406-883-7312
Business Mailing Address:
802 MAIN ST STE C POLSON, MT 59860 US
Tel: 406-883-7310 Fax: 406-883-7312
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | MT | 1117 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 760890 | MT | 01 |
| 0320099 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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