Organization Name: | BLUE CEDAR COUNSELING |
NPI Number: | 1336334911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH PARKER (MEMBER) |
Mailing Address: | 210 N Higgins Ave Ste 320 Missoula |
State: | MT US |
Postal Code: | 598024443 |
Phone Number: | 4065444843 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1321LCPC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |