| Audrey Kazmierczak Counseling Service | |
|
418 East Rosser Avenue Suite 304 Bismarck ND 58501-4046 | |
| (701) 471-1170 | |
| Not Available |
| Full Name | Audrey Kazmierczak Counseling Service |
|---|---|
| Speciality | Counselor - Professional |
| Location | 418 East Rosser Avenue, Bismarck, North Dakota |
| Authorized Official Name and Position | Audrey Kazmierczak (OWNER DIRECTOR COUNSELOR) |
| Authorized Official Contact | 7014711170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Kazmierczak Counseling Service 418 East Rosser Avenue Suite 304 Bismarck ND 58501-4046 Ph: (701) 471-1170 | Audrey Kazmierczak Counseling Service 418 East Rosser Avenue Suite 304 Bismarck ND 58501-4046 Ph: (701) 471-1170 |
| NPI Number | 1295858454 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295858454 | NPI | - | NPPES |
| 21792 | Other | ND | BCBS |
| 22619 | Other | ND | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC1243 (North Dakota) | Primary |
| 101YP2500X | Counselor - Professional | LPCC93719165 (North Dakota) | Primary |
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