Provider Demographics
NPI:1356760557
Name:VANBEMMEL, SONYA K (LAC)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:K
Last Name:VANBEMMEL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 N MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3095
Mailing Address - Country:US
Mailing Address - Phone:406-756-6453
Mailing Address - Fax:406-756-8546
Practice Address - Street 1:1312 N MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3095
Practice Address - Country:US
Practice Address - Phone:406-756-6453
Practice Address - Fax:406-756-8546
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15683-132101YA0400X
MTBBH-LAC-LIC-42619101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)