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MR. LUIS VALENCIA COCA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 857-2480
Mailing address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 857-2480

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1869
ND

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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