Organization
WAKE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DIESER (LCSW)
(406) 253-1807
Entity
Organization
Contact information
Practice address
1077 WHITEFISH STAGE ROAD, KALISPELL, MT 59901-2735
(406) 253-1807
Mailing address
PO BOX 3206, KALISPELL, MT 59903-3206
(406) 253-1807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
09/18/2025
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