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William D Brink, LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1144410358

William D Brink is an Addiction (Substance Use Disorder) Counselor based in Fargo, ND and is specialized in Addiction (Substance Use Disorder). William D Brink practices in Fargo, ND and has the professional credentials of LAC. The NPI Number for William D Brink is 1144410358 and holds a License No. 1145 (North Dakota).

The current practice location address for William D Brink is 510 4Th St S, Fargo, ND and can be reached out via phone at 701-476-7200 and via fax at 701-476-7261.

Location: 510 4Th St S, Fargo, ND, 58103-1914
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Provider Profile Details
NPI Number
1144410358
Provider Name
William D Brink
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
510 4Th St S, Fargo, ND, 58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412781009810 01 PREFERRED ONE
26066 01 ND BCBS-ND
institution
Provider Business Practice Location Address Details
Address
510 4Th St S
City
State
Zip
58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
person
Provider Business Mailing Address Details
Address
510 4Th St S
City
State
Zip
58103-1914
Phone Number
701-476-7200
Fax Number
701-476-7261
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1145 (North Dakota)
Definition
Definition to come...
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