Individual
PHILLIP DELANEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, 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
1502
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023521
BCBS PIN
ND
05
—
054518
—
ND
Enumeration date
06/16/2006
Last updated
07/09/2007
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