Individual
SHAWN LEE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 1ST AVE S, CENTER FOR MENTAL HEALTH/PACT, GREAT FALLS, MT 59401-3604
(406) 727-4315
(406) 791-9629
Mailing address
PO BOX 3089, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59403-3089
(406) 727-4315
(406) 791-9629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16452
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OMT0703543
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
03/16/2016
Last updated
08/17/2016
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