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NPI Code Detail

MEDICARE: KORU COUNSELLING, LLC

MEDICARE: KORU COUNSELLING, LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1184280703
Entity Type Code : Organization
Provider Name (Legal Business Name) : KORU COUNSELLING, LLC
Provider Business Mailing Address
First Line : 132 HUMBOLT LOOP
Second Line :
City : HELENA
State : MT
Zip : 59601-5629
Country : US
Telephone Number : 406-437-3305
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 6TH AVE
Second Line :
City : HELENA
State : MT
Zip : 59601-4464
Country : US
Telephone Number : 406-437-3305
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALASTAIR LUNNON
Credential : LCSW
Telephone Number : 406-437-3305
Provider Enumeration Date : 05/20/2019
Last Update Date : 05/20/2019

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