Kalie N Adoretti, LCPC, MSW

Individual provider Active NPI Mental Health Counselor · Bigfork, MT

NPI 1376777656 · NPPES record last updated Jan 19, 2011

Key facts

NPI
1376777656
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1384 (MT)
Practice address
2485 Riverside Rd
Bigfork, MT 59911-6008
Phone
(406) 212-4985
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1384MTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1384 MT Yes

Addresses

Primary practice location

2485 Riverside Rd
Bigfork, MT 59911-6008

Mailing address

2485 Riverside Rd
Bigfork, MT 59911-6008
Phone (406) 212-4985

Other identifiers

IdentifierTypeStateIssuer
1477745370MedicaidMT

Other providers in Bigfork, MT

All providers in Bigfork, MT · Mental Health Counselor in Montana

Sources for this page

Verify at the official NPI Registry.