Organization
WILLOW CANYON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNDA MARIE ALBERT LCSW , LAC, MAC (OWNER)
(406) 260-5085
Entity
Organization
Contact information
Practice address
302 1ST ST W STE 203, POLSON, MT 59860-2602
(406) 270-3447
Mailing address
42522 CANAL RD, RONAN, MT 59864-9002
(406) 260-5085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-SWLC-LIC-17314
MT
1041C0700X
Clinical Social Worker
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BBH-LAC-LIC-1275
MT
Other
Enumeration date
01/03/2018
Last updated
02/04/2022
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