person
Orville S Mandan, LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1710150099

Orville S Mandan is an Addiction (Substance Use Disorder) Counselor based in Fargo, ND and is specialized in Addiction (Substance Use Disorder). Orville S Mandan practices in Fargo, ND and has the professional credentials of LAC. The NPI Number for Orville S Mandan is 1710150099 and holds a License No. 1409 (North Dakota).

The current practice location address for Orville S Mandan is 4227 9Th Ave Sw, Fargo, ND and can be reached out via phone at 701-282-6561 and via fax at 701-277-0306.

Location: 4227 9Th Ave Sw, Fargo, ND, 58103-2018
person
Provider Profile Details
NPI Number
1710150099
Provider Name
Orville S Mandan
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
4227 9Th Ave Sw, Fargo, ND, 58103-2018
Phone Number
701-282-6561
Fax Number
701-277-0306
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-282-6561
Fax Number
701-277-0306
person
Provider Business Mailing Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-282-6561
Fax Number
701-277-0306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1409 (North Dakota)
Definition
Definition to come...
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