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Individual

DOUGLAS B BUNNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
61262 WATSON RD, ST IGNATIUS, MT 59865-9124
(406) 381-3962
Mailing address
61262 WATSON RD, ST IGNATIUS, MT 59865-9124
(406) 381-3962

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-70021
MT

Other

Enumeration date
07/26/2021
Last updated
10/26/2024
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