Individual
MS. WANDA JEAN LAMOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LAC
Contact information
Practice address
113 MAIN AVE E, ROLLA, ND 58367-2951
(701) 477-8272
(701) 477-8281
Mailing address
113 MAIN AVE E, PO BOX 88, ROLLA, ND 58367-2951
(701) 477-8272
(701) 477-8281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1605
ND
101YM0800X
Mental Health Counselor
4112
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2008
Last updated
10/15/2010
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