Organization · Type 2 NPI

Willow Canyon Counseling Services

Substance Use Disorder Rehabilitation Clinic/Center · Polson, MT

NPI number 1023525771 Active

Practice location

302 1st St W Ste 203
Polson, MT 59860-2602

Mailing address

42522 Canal Rd
Ronan, MT 59864-9002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XBBH-SWLC-LIC-17314 (MT)
Clinical Social Worker 1041C0700XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XBBH-LAC-LIC-1275 (MT)

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About NPI 1023525771

Willow Canyon Counseling Services's National Provider Identifier is 1023525771, issued on Jan 3, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Polson, MT. The record was last updated on Feb 4, 2022.