Albert, Shaunda Marie

Albert, Shaunda Marie is an sole proprietor health care provider with primary practice located at 302 1St St W Ste 203 , Polson MT 59860-2602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Albert, Shaunda Marie can be contacted via phone (406) 270-3447.

Contact Information

Primary practice address
302 1St St W Ste 203 Polson MT 59860-2602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 50202 Montana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BBH-LAC-LIC-1275 Montana

Profile Details

NPI number 1912407198
LBN Legal business name Albert, Shaunda Marie
Credentials LAC, MAC, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Sep 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912407198 NPPES
Montana Other BBH-LAC-LIC-1275 LAC LICENSE
Montana MEDICAID 1023525771 LAC LICENSE
Montana Other 13803682 LAC LICENSE

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