Individual
AMANDA DUSATKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 WILSON ST, MILES CITY, MT 59301-5722
(406) 234-2929
(406) 234-2928
Mailing address
21 MASTIN RD, KINSEY, MT 59338-9001
(307) 240-0959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-ACLC-LIC-54933
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-ACLC-LIC-54933
STATE LICENSE
MT
Enumeration date
01/10/2022
Last updated
01/10/2022
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