Mary Jane Deberry, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Havre, MT
NPI 1356552160 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1356552160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1191LAC (MT)
- Practice address
- 1105 Center Dr
Havre, MT 59501-4258 - Phone
- (406) 262-0626
- Fax
- (888) 612-0942
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 1191LAC | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honey Bee Positive LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1191LAC | MT | Yes |
Addresses
Primary practice location
1105 Center Dr
Havre, MT 59501-4258
Mailing address
1105 Center Dr
Havre, MT 59501-4258
Phone (406) 262-0626
Other providers in Havre, MT
- Deborah Cox
- Barry C. Coy
- Shannon Lee Crossler
- April Custer
- Gary Earl Daniels
- Rose Deberry
- Julie Dellerba
- Patty E Derosa
- Sandy A Derry
- Douglas A Dightman
All providers in Havre, 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 Dec 8, 2025. 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.