person
Donna Black Dog
Addiction (Substance Use Disorder) Counselor in Poplar, Montana
NPI 1376080234

Donna Black Dog is an Addiction (Substance Use Disorder) Counselor based in Poplar, MT and is specialized in Addiction (Substance Use Disorder). Donna Black Dog practices in Poplar, MT. The NPI Number for Donna Black Dog is 1376080234 and holds a License No. LAC-LAC-LIC-1393 (Montana).

The current practice location address for Donna Black Dog is 603 1/2 Court Ave., Poplar, MT and can be reached out via phone at 406-768-5364 and via fax at 406-768-5202.

Location: 603 1/2 Court Ave., Poplar, MT, 59255
person
Provider Profile Details
NPI Number
1376080234
Provider Name
Donna Black Dog
Credential
Provider Entity Type
Individual
Gender
Female
Address
603 1/2 Court Ave., Poplar, MT, 59255
Phone Number
406-768-5364
Fax Number
406-768-5202
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
603 1/2 Court Ave.
City
State
Zip
59255
Phone Number
406-768-5364
Fax Number
406-768-5202
person
Provider Business Mailing Address Details
Address
603 1/2 Court Ave.
City
State
Zip
59255
Phone Number
406-768-5364
Fax Number
406-768-5202
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC-LAC-LIC-1393 (Montana)
Definition
Definition to come...
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