MEDICARE: TODD CALL M.S.

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	106H00000X	Marriage & Family Therapist	4628	MT
2	101YP2500X	Professional Counselor	LCPC 7589	MT

General Provider Information

NPI Number	:	1528480324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD CALL M.S.

Provider Business Mailing Address
First Line	:	99 MILLS SPRING RD
Second Line	:
City	:	EUREKA
State	:	MT
Zip	:	59917-9153
Country	:	US
Telephone Number	:	406-291-3835
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 MILLS SPRING RD
Second Line	:
City	:	EUREKA
State	:	MT
Zip	:	59917-9153
Country	:	US
Telephone Number	:	406-291-3835
Fax Number	:

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

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	02/26/2014

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Directions to “ TODD CALL M.S.” Practice Location

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