| Dakota Family Services | |
|
600 22nd Ave Nw Minot ND 58703-0986 | |
| (701) 837-6508 | |
| (701) 858-1839 |
| Full Name | Dakota Family Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 22nd Ave Nw, Minot, North Dakota |
| Authorized Official Name and Position | Shondell L Gantzer (OFFICE MANAGER) |
| Authorized Official Contact | 7018580115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Family Services Po Box 1148 Minot ND 58702-1148 Ph: (701) 858-0115 | Dakota Family Services 600 22nd Ave Nw Minot ND 58703-0986 Ph: (701) 837-6508 |
| NPI Number | 1639130917 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639130917 | NPI | - | NPPES |
| 06641001 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| 13527 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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