Rosalie Birdwoman

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

NPI 1972857308 · NPPES record last updated Nov 7, 2012

Key facts

NPI
1972857308
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
494 (MT)
Practice address
100 Eagle Feather St.
Lame Deer, Montana
Lame Deer,, MT 59043
Phone
(406) 477-4916
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 494 MT Yes

Addresses

Primary practice location

100 Eagle Feather St.
Lame Deer, Montana
Lame Deer,, MT 59043

Mailing address

100 Eagle Feather Street
Lame Deer, MT 59043
Phone (406) 477-4916

Other names

  • Ms. Rosalie Birdwoman Other name

Other providers in Lame Deer,, MT

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

Sources for this page

Verify at the official NPI Registry.