Organization

Mountain Root Healing

Clinical Social Worker in Kalispell, MT(View on Map)

Legal Business Name

Mountain Root Healing

NPI Number

1629617568

NPI Type

Organization

Enumeration Date

12/23/2019

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

122 W NICKLAUS AVE
307 1ST AVE E STE 15

City

Kalispell
Kalispell

State

MT
MT

Postal Code

59901-2773
59901-4965

Country

US
US

Telephone Number

(562) 519-8492
(562) 519-8492

Authorized Official

Name

Kathren Gonzalez

Title or Position

MEMBER

Telephone Number

(562) 519-8492

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/23/2019

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