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Organization

MEDICINE HORSE COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA JEAN LAMOTTE-PETERSON LAC (OWNER/DIRECTOR)
(701) 266-5118
Entity
Organization

Contact information

Practice address
10435 63RD AVE NE, ROCKLAKE, ND 58365-9517
(701) 266-5118
Mailing address
10435 63RD AVE NE, ROCKLAKE, ND 58365-9517
(701) 266-5118

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1605
ND

Other

Enumeration date
10/24/2016
Last updated
10/24/2016
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