Individual
MRS. ADALIA M MCCREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
200 HIGHWAY 2 W, CO LAKE REGION HUMAN SERVICE CENTER, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, 200 HWY 2 WEST CO LAKE REGION HUMAN SERVICE CENTER, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1448
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026726
BSBS OF ND PIN
NC
Enumeration date
08/01/2006
Last updated
05/09/2013
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