| Wallace Larry Klostreich, LAC | |
|
1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | |
| (701) 328-8892 | |
| (701) 328-8900 |
| Full Name | Wallace Larry Klostreich |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1237 W Divide Ave, Bismarck, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073540415 | NPI | - | NPPES |
| 024576 | Other | BCBS OF ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1073 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Larry Klostreich, LAC 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 Ph: (701) 328-8892 | Wallace Larry Klostreich, LAC 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 Ph: (701) 328-8892 |
Victoria Ngatia, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4530 Northern Sky Dr, Bismarck, ND 58503 Phone: 701-751-6336 Fax: 701-751-6337 | |
Sandra Bender, Counselor Medicare: Medicare Enrolled Practice Location: 1800 E Interstate Ave, Bismarck, ND 58503 Phone: 701-323-8800 | |
Sue A Mock, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8763 Fax: 701-328-8900 | |
Tara Moszer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8888 Fax: 701-328-8900 | |
Julie Ann Aman, OTR/L Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 N 11th St, Bismarck, ND 58501 Phone: 701-530-7256 Fax: 701-530-7257 | |
Mrs. Patricia Mary Hulm, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St, Suite 201, Bismarck, ND 58504 Phone: 701-258-3780 Fax: 701-751-1328 | |
Patrick L Joyce, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1237 W Divide Ave Ste 5, Bismarck, ND 58501 Phone: 701-328-8888 |