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Kimberly Wallis Panko, MA
Counselor in Missoula, Montana
NPI 1245840230

Kimberly Wallis Panko is a Counselor based in Missoula, MT. Kimberly Wallis Panko practices in Missoula, MT and has the professional credentials of MA. The NPI Number for Kimberly Wallis Panko is 1245840230 and holds a License No. 169890 (Montana).

The current practice location address for Kimberly Wallis Panko is 7955 Toby Way, Missoula, MT and can be reached out via phone at 406-219-1302.

Location: 7955 Toby Way, Missoula, MT, 59801-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245840230
Provider Name
Kimberly Wallis Panko
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
7955 Toby Way, Missoula, MT, 59801-7718
Phone Number
406-219-1302
Fax Number
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7955 Toby Way
City
Missoula
State
Montana
Zip
59808-5024
Phone Number
406-219-1302
Fax Number
person
Provider Business Mailing Address Details
Address
7955 Toby Way
City
Missoula
State
Montana
Zip
59808-5024
Phone Number
406-219-1302
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
BBH-LCPC-LIC-50086 (Montana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4630 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
169890 (Alaska)
Definition
Definition to come...
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