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Organization
LAKE REGION LAW ENFORCEMENT CENTER
Active
Organization
LAKE REGION LAW ENFORCEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARR KLEMETSRUD (DIRECTOR)
(701) 662-0700
Entity
Organization
Contact information
Practice address
222 WALNUT ST W, DEVILS LAKE, ND 58301-3596
(701) 662-0700
(701) 662-0707
Mailing address
222 WALNUT ST W, DEVILS LAKE, ND 58301-3596
(701) 662-0700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/17/2025
Last updated
07/30/2025
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