# KORI STOCKIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open Range Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851056766
- **Authorized official:** KORI STOCKIE (CEO)
- **Authorized official phone:** (701) 264-9049

## Contact information

- **Practice address:** 135 SIMS ST STE 202, DICKINSON, ND 58601-5148
- **Practice address phone:** (701) 264-9049
- **Mailing address:** 135 SIMS ST STE 202, DICKINSON, ND 58601-5148
- **Mailing address phone:** (701) 264-9049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 06/18/2024