Individual
JESSICA ROSE SPOTTED BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
417 EAST 13TH AVENUE, POPLAR, MT 59255
(406) 768-3052
Mailing address
PO BOX 1098, POPLAR, MT 59255-1098
(406) 561-7872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-78972
MT
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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