Healthcare Provider Details

I. General information

NPI: 1356586648
Provider Name (Legal Business Name): JUDITH ANN KURIEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH ANN BIRD NONE

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 RAILROAD AVE
ALBERTON MT
59820-9499
US

IV. Provider business mailing address

T-9 FORT MISSOULA
MISSOULA MT
59804-7202
US

V. Phone/Fax

Practice location:
  • Phone: 406-722-4413
  • Fax: 406-722-4030
Mailing address:
  • Phone: 406-532-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number837
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: