Individual
TINA M. NORDAUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
603 MAIN ST, WILLISTON, ND 58801-5467
(701) 774-1122
(701) 774-1125
Mailing address
PO BOX 2354, WILLISTON, ND 58802-2354
(701) 774-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3153
ND
104100000X
Social Worker
Primary
3153
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54516
—
ND
Enumeration date
11/02/2006
Last updated
07/01/2022
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