KATRENA DEZERAI PALMER LAC NPI 1710795463

NPI Information

  • NPI: 1710795463
  • Provider Name: KATRENA DEZERAI PALMER, LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 130 3RD ST S
    GLASGOW, MT
    ZIP 59230
  • Phone: (406) 228-9349

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NPI Details

Katrena Dezerai Palmer, LAC is an addiction (substance use disorder) counselor in Glasgow, MT. Katrena Dezerai Palmer, LAC NPI is 1710795463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 3RD ST S
GLASGOW, MT
ZIP 59230-303
Phone: (406) 228-9349

The enumeration date for this NPI number is 12/27/2024 and was last updated on 12/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171830OTHERMONTANALAC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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