Provider Demographics
NPI:1962553339
Name:DACAR, DOROTHY M (LCPC)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:M
Last Name:DACAR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S 19TH AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6821
Mailing Address - Country:US
Mailing Address - Phone:406-585-9440
Mailing Address - Fax:406-585-9448
Practice Address - Street 1:502 S 19TH AVE STE 305
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6821
Practice Address - Country:US
Practice Address - Phone:406-585-9440
Practice Address - Fax:406-585-9448
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT111101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health