NPI 1790861862 · live from the CMS NPI Registry
Alicia Jean Abdallah, CNA, Psych Tech
Counselor in Kalispell, MT. National Provider Identifier 1790861862, active.
NPI record
| NPI | 1790861862 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 300 N Somers Rd, Kalispell, MT 59901 |
| Practice phone | 406-253-3761 |
| Mailing address | Po Box 1063, Kalispell, MT 59903 |
| Enumerated | October 31, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | n/a |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.