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
Phone: (406) 270-3447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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