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Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lame Deer, MT
NPI 1336847656 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1336847656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- BBH-LAC-LIC-38696 (MT)
- Practice address
- 112 E. Eagle Feathers Street
Lame Deer, MT 59043 - Phone
- (406) 477-4924
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-38696 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Cheyenne Tribe | Past |
Accepting new patients | |
| Northern Cheyenne Tribe | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-38696 | MT | Yes |
Addresses
Primary practice location
112 E. Eagle Feathers Street
Lame Deer, MT 59043
Mailing address
PO Box 129
Lame Deer, MT 59043-0129
Phone (406) 477-6722
Other providers in Lame Deer, MT
- Pierce Biglefthand
- Rosalie Birdwoman
- Darneilia Blackwolf
- Felicia Dianne Blindman
- John Ross Bradley
- Charles Bratsky
- Billie Jo Brown
- Dawn Marie Bryant
- John Duane Burns Sr.
- Martha Burton
All providers in Lame Deer, MT · Addiction (Substance Use Disorder) Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.