Donna Black Dog

NPI #1376080234 in Poplar, Montana

Provider Information

NPI Number
1376080234
Entity Type
Individual
Name
Donna Black Dog
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 30, 2017
Last Updated
Jan 30, 2017

Practice Location

Address
603 1/2 COURT AVE.
City
Poplar
State
Montana
ZIP Code
59255
Phone
(406) 768-5364

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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