| Therapeutic Trauma And Counseling | |
|
517 La Paz Ave Bismarck ND 58503-9097 | |
| (701) 595-2414 | |
| Not Available |
| Full Name | Therapeutic Trauma And Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 517 La Paz Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Jennifer A Lefever (OWNER) |
| Authorized Official Contact | 7015952414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Trauma And Counseling Po Box 111 Bismarck ND 58502-0111 Ph: () - | Therapeutic Trauma And Counseling 517 La Paz Ave Bismarck ND 58503-9097 Ph: (701) 595-2414 |
| NPI Number | 1093305294 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 1658724711 |
|---|---|
| Medicare Enrollment ID | O20240125001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093305294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Lefever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518347707 PECOS PAC ID: 1557621687 Enrollment ID: I20180208002994 |
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