MEDICARE: MS. SHEILA SUE RIESENBERG C.R.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1285829127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA SUE RIESENBERG C.R.C.

Provider Business Mailing Address
First Line	:	PO BOX 2425
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59403-2425
Country	:	US
Telephone Number	:	406-205-4656
Fax Number	:	888-419-8818

Provider Business Practice Location Address
First Line	:	1215 10TH AVE SW
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-3103
Country	:	US
Telephone Number	:	406-205-4656
Fax Number	:	888-419-8818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	06/05/2025

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