is a Addiction (substance Use Disorder) in Dickinson, North Dakota. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1053578005. The last update date is .
's current location address is 300 13th Ave W Ste 1, Dickinson, North Dakota. You can contact this provider via phone number 7012277580 and fax number 7012277575. The mailing address for is 300 13th Ave W Ste 1, Dickinson, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 300 13th Ave W Ste 1, Dickinson, North Dakota |
| Phone Number | 7012277580 |
| Fax Number | 7012277575 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053578005 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 300 13th Ave W Ste 1 |
|---|---|
| City | Dickinson |
| State | North Dakota (ND) |
| Post Code | 586014875 |
| Phone Number | 7012277580 |
| Fax Number | 7012277575 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1378 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54523 | ND | -- |
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