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Organization
MOUNTAIN ROOT HEALING
Active
Organization
MOUNTAIN ROOT HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHREN GONZALEZ LCSW (MEMBER)
(562) 519-8492
Entity
Organization
Contact information
Practice address
307 1ST AVE E STE 15, KALISPELL, MT 59901-4965
(562) 519-8492
Mailing address
122 W NICKLAUS AVE, KALISPELL, MT 59901-2773
(562) 519-8492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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