Chief Holystar Fish, COUNSELOR
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Browning, MT
NPI 1982391744 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1982391744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- BBH-ACLC-LIC-57162 (MT)
- Practice address
- 807 N Piegan St
Browning, MT 59417-5217 - Phone
- (406) 338-6330
- NPI assigned
- Apr 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| BBH-ACLC-LIC-57162 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Creek Lodge | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-ACLC-LIC-57162 | MT | Yes |
Addresses
Primary practice location
807 N Piegan St
Browning, MT 59417-5217
Mailing address
PO Box 450
Browning, MT 59417-0450
Phone (406) 338-6330
Other providers in Browning, MT
- Brian Erickson
- Harry Stough Etter Jr.
- Crystal Rose Evans
- Margaret Mary Evans
- Leilani Anne Farbstein
- Dana Jo Fish
- Donald Peter Fish
- Kendall Flint
- Gustavo Flores
- Kara Heist Francis
All providers in Browning, 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 Apr 21, 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.