Charyl Crandall Skates | Bozeman, MT • PECOS Search

Charyl Crandall Skates

Counselor

Behavioral Health & Social Service Providers

321 E Main St Ste 207, Bozeman, MT 59715-4731

(406) 579-9006 (406) 585-9632

PECOS Enrollment

Based on the most recent information from CMS, provider Charyl Crandall Skates does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437480605
Provider Type
Individual
Full Name
Skates, Charyl Crandall
Title
Ms.
Credential
LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/27/2010
Last Updated
1/27/2010

Contact Information

Practice Location

321 E Main St Ste 207, Bozeman, MT 59715-4731

Unlisted Fax

Mailing Location

391 Annie Glade Dr, Bozeman, MT 59718-7685

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 1293LPC Montana