Individual provider · Type 1 NPI

Jessica Rose Spotted Bull, LAC

Addiction (Substance Use Disorder) Counselor · Poplar, MT

NPI number 1821890872 Active

Practice location

417 East 13th Avenue
Poplar, MT 59255

Call (406) 768-3052 Map

Mailing address

PO Box 1098
Poplar, MT 59255-1098

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-LAC-LIC-78972 (MT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1821890872

Jessica Rose Spotted Bull, LAC's National Provider Identifier is 1821890872, issued on Mar 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poplar, MT. The record was last updated on Mar 27, 2025.