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NPI Code Detail

MEDICARE: KATHLEEN REED TILTON LCPC

MEDICARE:   KATHLEEN REED TILTON  LCPC
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
1101YM0800XMental Health Counselor8534MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10MT0744213OTHERMTBLUE CROSS-SHIELD OF MONTANA

General Provider Information

NPI Number : 1639572175
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN REED TILTON LCPC
Provider Business Mailing Address
First Line : PO BOX 3089
Second Line : CENTER FOR MENTAL HEALTH
City : GREAT FALLS
State : MT
Zip : 59403-3089
Country : US
Telephone Number : 406-727-4315
Fax Number : 406-791-9629
Provider Business Practice Location Address
First Line : 513 1ST AVE S
Second Line : CENTER FOR MENTAL HEALTH
City : GREAT FALLS
State : MT
Zip : 59401-3604
Country : US
Telephone Number : 406-727-4315
Fax Number : 406-791-9629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 02/04/2015

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Directions to “ KATHLEEN REED TILTON LCPC” Practice Location

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