Doctor Name: | DANIEL L. GREGERSON |
NPI Number: | 1033236344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 838-LCPC |
Business Practice Address: | 690 N Meridian Rd Ste. 211 Kalispell, MT - 599013586 |
Business Phone Number: | 4067566764 |
Business Fax Number: | |
Mailing Address: | 690 N Meridian Rd, Ste. 211 KALISPELL |
State: | MT |
Postal Code: | 599013586 |
Phone Number: | 4067566764 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 838-LCPC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |