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Individual

KAY MCDONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
118 W 1ST AVE, BIG TIMBER, MT 59011-7652
(406) 930-2121
Mailing address
PO BOX 245, BIG TIMBER, MT 59011-0245
(406) 930-2121

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
56882
MT
1041C0700X
Clinical Social Worker
Primary
54433
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891781787
MT
Enumeration date
10/09/2019
Last updated
01/15/2023
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