Doctor Name: | VIRGINIA GOSNEY |
NPI Number: | 1891822961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | 1072 |
Business Practice Address: | 1210 E Main St Cut Bank, MT - 594273152 |
Business Phone Number: | 4068732155 |
Business Fax Number: | 4068732155 |
Mailing Address: | 320 6th St Sw, GREAT FALLS |
State: | MT |
Postal Code: | 594042958 |
Phone Number: | 4067616148 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |