MEDICARE: AMBER TATKENHORST

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	89269	MT

General Provider Information

NPI Number	:	1861326324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER TATKENHORST

Provider Business Mailing Address
First Line	:	PO BOX 192
Second Line	:
City	:	POLSON
State	:	MT
Zip	:	59860-0192
Country	:	US
Telephone Number	:	406-281-0706
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 192
Second Line	:
City	:	POLSON
State	:	MT
Zip	:	59860-0192
Country	:	US
Telephone Number	:	406-281-0706
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ AMBER TATKENHORST ” Practice Location

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