NPI 1841920782

Katherine Kelly Gifford, CBHPSS

Practitioner Peer Specialist Missoula, MT

Practice location

Address: 202 Brooks St STE 300, Missoula, MT 59801-4019
Phone: (406) 926-1453
Fax: (406) 926-1454
Mailing address: PO Box 3976, Missoula, MT 59806-3976

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence BBH-BHPS-CRT-55462 (MT)

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Registry record

NPI: 1841920782
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2022
Record last updated: 14 Jun 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.