| Quinndui/mip/counseling | |
|
47 West 6th Street Grafton ND 58237-8704 | |
| (701) 741-3500 | |
| (701) 353-0424 |
| Full Name | Quinndui/mip/counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 47 West 6th Street, Grafton, North Dakota |
| Authorized Official Name and Position | Pamela Jean Quinn (COUNSELOR-OWNER) |
| Authorized Official Contact | 7017413500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinndui/mip/counseling 47 West 6th Street Grafton ND 58237-8704 Ph: (701) 741-3500 | Quinndui/mip/counseling 47 West 6th Street Grafton ND 58237-8704 Ph: (701) 741-3500 |
| NPI Number | 1124318738 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124318738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1288 (North Dakota) | Primary |
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