NPI 1053858001

Madonna McConnell

Practitioner Addiction (Substance Use Disorder) Counselor Poplar, MT

Practice location

Address: 603 1/2 Court Avenue, Poplar, MT 59255
Phone: (406) 768-5364
Fax: (406) 768-5202

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence BBH-LAC-LIC3451 (MT)

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Registry record

NPI: 1053858001
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2017
Record last updated: 30 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.