NPI 1912407198 · live from the CMS NPI Registry
Shaunda Marie Albert, LAC, MAC, LCSW
Counselor, Addiction (Substance Use Disorder) in Polson, MT. National Provider Identifier 1912407198, active.
NPI record
| NPI | 1912407198 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 302 1st St W Ste 203, Polson, MT 59860 |
| Practice phone | 406-270-3447 |
| Mailing address | 42522 Canal Rd, Ronan, MT 59864 |
| Enumerated | February 14, 2018 |
| Last updated | September 16, 2021 |
| Sole proprietor | Yes |
| Other names | Shaunda Albert |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 50202 (MT) |
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | BBH-LAC-LIC-1275 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.