Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY WALLIS PANKO, MA
Active Sole ProprietorKIMBERLY WALLIS PANKO, MA is a Professional Counselor healthcare provider located in MISSOULA, Montana. NPI 1245840230 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MISSOULA, MT
Registration Details
- NPI Number
- 1245840230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2020 (5.9856632326371 yrs)
- Last Updated
- Oct 24, 2024
- Licenses
-
BBH-LCPC-LIC-50086 (MT)4630 (AK)169890 (AK)BBH-LCPC-LIC-50086 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7955 TOBY WAYMISSOULA, MT, 598085024Browse MT providers · Browse ZIP 59808
- Phone
- 4062191302
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE R FELLER | LCPC | 1861494452 |
| TRAVIS W STRATFORD | M.D., L.C.P.C. | 1962453159 |
| H. JO KIMERY | RN, LCPC | 1043235708 |
| DR. WILLIAM JOSEPH LINK | EDD | 1790700565 |
| MS. MARSHA LYNNE KIRCHNER | L.C.P.C. | 1639190507 |
| MR. BROOKS WILLIAM BAER | LCPC | 1003821976 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.