Individual
SHELLEY KAY BUFFINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
515 1/2 E BROADWAY AVE STE 106, BISMARCK, ND 58501-4408
(701) 751-0443
(701) 751-1616
Mailing address
515 E BROADWAY AVE STE 106, BISMARCK, ND 58501-4407
(701) 751-0443
(701) 751-1616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KLE-66-4695
ND
101YP2500X
Professional Counselor
834-6-1-15
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012198
BCBS OF ND
—
Enumeration date
06/30/2006
Last updated
05/04/2022
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