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Organization
SUMMIT COUNSELING INC
Active
Organization
SUMMIT COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LEE OWEN MSW, LAC, LACW (EXECUTIVE DIRECTOR)
(701) 334-6242
Entity
Organization
Contact information
Practice address
1500 14TH ST W, SUITE 290, WILLISTON, ND 58801-4076
(701) 334-6242
(701) 713-3299
Mailing address
1500 14TH ST W, SUITE 290, WILLISTON, ND 58801-4076
(701) 334-6242
(701) 713-3299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472475
—
ND
Enumeration date
12/27/2016
Last updated
03/15/2020
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