| Dakota Institute Of Trauma Therapy | |
|
4023 State St # 120 Bismarck ND 58503-0690 | |
| (701) 751-4447 | |
| (701) 751-4471 |
| Full Name | Dakota Institute Of Trauma Therapy |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4023 State St # 120, Bismarck, North Dakota |
| Authorized Official Name and Position | Jennifer Kay Delzer (OFFICE MANAGER/BILLING SPECIALIST) |
| Authorized Official Contact | 7017514447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Institute Of Trauma Therapy 4023 State St # 120 Bismarck ND 58503-0690 Ph: (701) 751-4447 | Dakota Institute Of Trauma Therapy 4023 State St # 120 Bismarck ND 58503-0690 Ph: (701) 751-4447 |
| NPI Number | 1699123117 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699123117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1371 (North Dakota) | Primary |
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