person
Ansel White Eagle JR.
Peer Specialist in Bismarck, North Dakota
NPI 1740977867

Ansel White Eagle JR. is a Peer Specialist based in Bismarck, ND. Ansel White Eagle JR. practices in Bismarck, ND. The NPI Number for Ansel White Eagle JR. is 1740977867 and holds a License No. (North Dakota).

The current practice location address for Ansel White Eagle JR. is 1308 Elbowood Ln, Bismarck, ND and can be reached out via phone at 701-751-8260.

Location: 1308 Elbowood Ln, Bismarck, ND, 58503-5712
person
Provider Profile Details
NPI Number
1740977867
Provider Name
Ansel White Eagle JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1308 Elbowood Ln, Bismarck, ND, 58503-5712
Phone Number
701-751-8260
Fax Number
Provider Enumeration Date
04/19/2023
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
person
Provider Business Mailing Address Details
Address
1308 Elbowood Ln
City
State
Zip
58503-5712
Phone Number
701-751-8260
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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