Holly Marie Dorcheus, ACLC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Havre, MT

NPI 1548029515 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1548029515
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
BBH-ACLC-LIC-65530 (MT)
Practice address
605 3Rd Ave
Havre, MT 59501-3917
Phone
(406) 399-1757
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-LIC-65530MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Paw Recovery Center Addiction (Substance Use Disorder) Past
since Mar 17, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-65530 MT Yes

Addresses

Primary practice location

605 3Rd Ave
Havre, MT 59501-3917

Mailing address

605 3Rd Ave
Havre, MT 59501-3917
Phone (406) 399-1757

Other providers in Havre, MT

All providers in Havre, MT · Addiction (Substance Use Disorder) Counselor in Montana

Sources for this page

Verify at the official NPI Registry.