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NPI Code Detail

MEDICARE: RENEE LAMONT LCSW

MEDICARE:   RENEE  LAMONT  LCSW
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health CounselorCSWM1081AK
41041C0700XClinical Social Worker119059AK

General Provider Information

NPI Number : 1295947034
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE LAMONT LCSW
Provider Business Mailing Address
First Line : PO BOX 4105
Second Line :
City : PORTLAND
State : OR
Zip : 97208-4105
Country : US
Telephone Number : 866-907-1068
Fax Number : 425-917-9141
Provider Business Practice Location Address
First Line : 2250 S WOODWORTH LOOP STE 202
Second Line :
City : PALMER
State : AK
Zip : 99645-7457
Country : US
Telephone Number : 907-761-5800
Fax Number : 907-761-5801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 09/15/2020

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Directions to “ RENEE LAMONT LCSW” Practice Location

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