Whalio Doctors

NPI 1023525771

Willow Canyon Counseling Services

Organisation Substance Use Disorder Rehabilitation Clinic/Center Polson, MT

Practice location

Address
302 1st St W STE 203, Polson, MT 59860-2602
Phone
(406) 270-3447
Mailing address
42522 Canal Rd, Ronan, MT 59864-9002

Authorised official

Name
Shaunda Marie Albert
Title
Owner
Phone
(406) 260-5085

Registered specialties (3)

Substance Use Disorder Rehabilitation Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence BBH-LAC-LIC-1275 (MT)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence BBH-SWLC-LIC-17314 (MT)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI
1023525771
Entity type
Organization
NPI issued
3 Jan 2018
Record last updated
4 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.