Healthcare Provider Details

I. General information

NPI: 1598252306
Provider Name (Legal Business Name): SABRINA KUZIO-JAMES LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 9TH ST E
KALISPELL MT
59901-5419
US

IV. Provider business mailing address

PO BOX 7896
KALISPELL MT
59904-0896
US

V. Phone/Fax

Practice location:
  • Phone: 406-471-0033
  • Fax: 406-260-4464
Mailing address:
  • Phone: 406-471-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-31005
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: