person
Kyle Elwood White Bear
Peer Specialist in Bismarck, North Dakota
NPI 1477332369

Kyle Elwood White Bear is a Peer Specialist based in Bismarck, ND. Kyle Elwood White Bear practices in Bismarck, ND. The NPI Number for Kyle Elwood White Bear is 1477332369 and holds a License No. 00000 (North Dakota).

The current practice location address for Kyle Elwood White Bear is 1308 Elbowood Ln, Bismarck, ND and can be reached out via phone at 701-751-8260 and via fax at 701-751-2274.

Location: 1308 Elbowood Ln, Bismarck, ND, 58503-5712
person
Provider Profile Details
NPI Number
1477332369
Provider Name
Kyle Elwood White Bear
Credential
Provider Entity Type
Individual
Gender
Male
Address
1308 Elbowood Ln, Bismarck, ND, 58503-5712
Phone Number
701-751-8260
Fax Number
701-751-2274
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1308 Elbowood Ln
City
State
Zip
58503-5712
Phone Number
701-751-8260
Fax Number
701-751-2274
person
Provider Business Mailing Address Details
Address
1308 Elbowood Ln
City
State
Zip
58503-5712
Phone Number
701-751-8260
Fax Number
701-751-2274
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
00000 (North Dakota)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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