| Donna Black Dog, | |
|
603 1/2 Court Ave., Poplar, MT 59255 | |
| (406) 768-5364 | |
| (406) 768-5202 |
| Full Name | Donna Black Dog |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 603 1/2 Court Ave., Poplar, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376080234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC-LAC-LIC-1393 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Black Dog, 603 1/2 Court Avenue, Poplar, MT 59255 Ph: (406) 768-5364 | Donna Black Dog, 603 1/2 Court Ave., Poplar, MT 59255 Ph: (406) 768-5364 |
Eloise Youngman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 1/2 Court Ave., Poplar, MT 59255 Phone: 406-768-3852 Fax: 406-768-5202 | |
Ms. Terry Mcanally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 1/2 Court Ave., Poplar, MT 59255 Phone: 406-768-3852 Fax: 406-768-5202 | |
Madonna Mcconnell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 1/2 Court Avenue, Poplar, MT 59255 Phone: 406-768-5364 Fax: 406-768-5202 | |
Emily Dillinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 13th Ave East, Poplar, MT 59255 Phone: 406-768-3384 | |
Mrs. Petrea Mary Martin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 4th Avenue West, Poplar, MT 59255 Phone: 406-768-6763 Fax: 406-768-6802 | |
Olivia Lorentz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 1/2 Court Avenue, Poplar, MT 59255 Phone: 406-768-3852 Fax: 406-768-5202 |