Jessica Rose Spotted Bull, LAC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Poplar, MT

NPI

1821890872

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

BBH-LAC-LIC-78972 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2025-03-27

Last updated

2025-03-27