Healthcare Provider Details

I. General information

NPI: 1073925350
Provider Name (Legal Business Name): PANDORA KAY PALMER L.C.P.C., C.R.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PANDORA KAY ZIOKOWSKI L.C.P.C,, C.R.C

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N 19TH ST
BILLINGS MT
59101-1426
US

IV. Provider business mailing address

3720 HAYDEN DR
BILLINGS MT
59102-1129
US

V. Phone/Fax

Practice location:
  • Phone: 406-698-1587
  • Fax: 406-656-0935
Mailing address:
  • Phone: 406-698-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberSWP-LCPC-LIC-7854
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00111462
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: