Individual
DOMINIC OLD ELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, AA
Contact information
Practice address
1231 N 29TH ST, BILLINGS, MT 59101-0122
(406) 248-3175
(406) 248-3821
Mailing address
1331 FIRST AVE NORTH, SILVERLEAF CENTER,, BILLINGS, MT 59101
(406) 248-3175
(406) 294-8580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-23994
MT
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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