MEDICARE: KALIE N ADORETTI LCPC, MSW

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
1	101YM0800X	Mental Health Counselor	1384	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376777656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALIE N ADORETTI LCPC, MSW

Provider Business Mailing Address
First Line	:	2485 RIVERSIDE RD
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-6008
Country	:	US
Telephone Number	:	406-212-4985
Fax Number	:

Provider Business Practice Location Address
First Line	:	2485 RIVERSIDE RD
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911-6008
Country	:	US
Telephone Number	:	406-212-4985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	01/19/2011

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