Individual
MS. JULAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 KUNDERT ST, TURTLE LAKE, ND 58575-4205
(701) 448-9225
Mailing address
104 MAIN ST, TURTLE LAKE, ND 58575-4001
(701) 448-2054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122781522513
ND
101YP2500X
Professional Counselor
1383
WY
Other
Enumeration date
12/30/2016
Last updated
05/15/2023
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