Provider Demographics
NPI:1699491555
Name:ORSBORN, DONNA MARIE (LAC, PCLC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:ORSBORN
Suffix:
Gender:
Credentials:LAC, PCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 W GOLD ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2301
Mailing Address - Country:US
Mailing Address - Phone:406-782-5389
Mailing Address - Fax:
Practice Address - Street 1:775 W GOLD ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2301
Practice Address - Country:US
Practice Address - Phone:406-782-5389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-APP-57389101YA0400X
MTBBH-PCLC-LIC-58555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)