Kirsten K Townsend, LCPC, ACLC
Individual provider Active NPI Professional Counselor · Conrad, MT
NPI 1114688173 · NPPES record last updated Oct 22, 2022
Key facts
- NPI
- 1114688173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 57592 (MT)
- Practice address
- 600 S Main St Ste 10
Conrad, MT 59425-2532 - Phone
- (815) 858-4312
- Fax
- (406) 466-3485
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54164 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 57592 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 57592 | MT | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 54164 | MT |
Addresses
Primary practice location
600 S Main St Ste 10
Conrad, MT 59425-2532
Mailing address
415 S Illinois St
Conrad, MT 59425-2209
Phone (815) 858-4312
Other providers in Conrad, MT
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- Sunset Dental Care PC
- Jay Daniel Taylor
- John E Taylor
- TMJ & Sleep Therapy Centre of Montana, Inc
- Utterback RX Inc
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- Schuyler Anne Vandyke
- Kellie Michelle Vaneyk
All providers in Conrad, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.