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Organization

EVOLUTION COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA CHARLIE KELNER LMAC LPCC (COUNSELOR)
(701) 665-3263
Entity
Organization

Contact information

Practice address
413 4TH ST NE STE 1, DEVILS LAKE, ND 58301-2542
(701) 665-3263
Mailing address
1028 4TH ST NE, DEVILS LAKE, ND 58301-2702
(701) 665-3263

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/17/2021
Last updated
06/09/2021
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