RUBEN QUINTANA


Address: 302 1st St W Ste 203, Polson, MT 59860-2602
Phone: 4063192563

RUBEN QUINTANA (NPI# 1386209401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386209401
Entity Type Individual
Full Name RUBEN QUINTANA
Credential ACLC
Practice Address 302 1st St W Ste 203
Polson
MT 59860-2602
Mailing Address 41001 Canyon View Dr
Polson
MT 59860-7671
Practice Telephone 4063192563
Practice Fax Number 4063192569
Mailing Telephone 4065527875
Enumeration Date 2019-05-03
Last Update Date 2019-10-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
BBH-LAC-LIC-3893 MT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
41001 Canyon View Dr, Polson, MT 598607671 4065527875

Office Location

Street Address 302 1ST ST W STE 203
City POLSON
State MT
Zip Code 59860-2602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598865131 Milana Marie Marsenich Counselor 302 1st St W Ste 203, Polson, MT 59860-2602 2006-09-24
1912407198 Shaunda Marie Albert Counselor 302 1st St W Ste 203, Polson, MT 59860-2602 2018-02-14
1023525771 Willow Canyon Counseling Services Counselor 302 1st St W Ste 203, Polson, MT 59860-2602 2018-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679095020 Ashley J Gilham Registered Nurse #5 4th Ave E., Polson, MT 59860 2017-07-07
1225585532 St. Luke Community Hospital Clinic/Center 107 Ridgewater Dr., Polson, MT 59860 2016-09-02
1306202163 Western Montana Mental Health Center Community Based Residential Treatment Facility, Mental Illness 7 13th Ave East, Polson, MT 59860 2016-01-11
1154730364 Wanda L King Dietitian, Registered 6 Thirteenth Avenue East, Poslon, MT 59860 2014-08-13
1104255637 Dacia Lee Antiste-fisher Counselor #5 4th Ave. E., Polson, MT 59860 2013-11-05
1154758134 Richard Pierre Pharmacy Technician 5 4th Ave E., Polson, MT 59860 2013-10-04
1154755197 Wal-mart Stores, Inc Durable Medical Equipment & Medical Supplies 36318 Memory Lane, Polson, MT 59860 2013-08-27
1245582022 Catherine D Addison Registered Nurse 5 4th Ave. East, Polson, MT 59860 2012-10-04
1114220787 Erika Ann Weber Social Worker #5 4th Ave. E, Polson, MT 59860 2010-12-21
1942431473 Lisa L. Scalpane Counselor 803 Main Street, Suite C, Polson, MT 59860 2009-07-31
Find all providers in zip 59860

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528551538 Kim Dalene Harding Counselor 35592 Rocky Point Rd, Polson, MT 59860-9254 2018-06-13
1407215577 Faith Ann Tallwhiteman Counselor 1201 Main St Ste B, Polson, MT 59860-5328 2016-02-18
1104255637 Dacia Lee Antiste-fisher Counselor #5 4th Ave. E., Polson, MT 59860 2013-11-05
1942431473 Lisa L. Scalpane Counselor 803 Main Street, Suite C, Polson, MT 59860 2009-07-31
1518944917 Kathe Mcgehee Randle Counselor 28 Litler Ln, Polson, MT 59860-9654 2005-12-27
1669026571 Timothy Fox Counselor 802 Main St Ste C, Polson, MT 59860-3200 2019-07-29
1912407198 Shaunda Marie Albert Counselor 302 1st St W Ste 203, Polson, MT 59860-2602 2018-02-14
1093258790 April Brewer Counselor 802 Main St Ste C, Polson, MT 59860-3200 2016-11-29
1952634883 Kristi Johnson Counselor 802 Main St, Suite C, Polson, MT 59860-3201 2009-09-10
1124160429 Lesley E. Dubay Counselor 802 Main St Ste C, Polson, MT 59860-3200 2007-02-13
Find all providers in POLSON

Competitor

Search similar providers

City POLSON
Zip Code 59860

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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