NPI 1376080234
Donna Black Dog
Practice location
- Address
- 603 1/2 Court Ave., Poplar, MT 59255
- Phone
- (406) 768-5364
- Fax
- (406) 768-5202
- Mailing address
- 603 1/2 Court Avenue, Poplar, MT 59255
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1376080234
- 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.