| 180 Counseling, Pllc | |
|
108 Wapiti Ct Se Devils Lake ND 58301-3431 | |
| (701) 230-2662 | |
| Not Available |
| Full Name | 180 Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 108 Wapiti Ct Se, Devils Lake, North Dakota |
| Authorized Official Name and Position | Diane Mary Soli (CLINICAL SOCIAL WORKER/ OWNER) |
| Authorized Official Contact | 7012302662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 180 Counseling, Pllc 108 Wapiti Ct Se Devils Lake ND 58301-3431 Ph: (701) 230-2662 | 180 Counseling, Pllc 108 Wapiti Ct Se Devils Lake ND 58301-3431 Ph: (701) 230-2662 |
| NPI Number | 1265143390 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265143390 | NPI | - | NPPES |
| 74249 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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