Organization
QUINNDUI/MIP/COUNSELING
Active
Parent organization
QUINNDUI/MIP/COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUINNDUI/MIP/COUNSELING
Authorized official
MS. PAMELA JEAN QUINN LAC (COUNSELOR-OWNER)
(701) 741-3500
Entity
Organization
Contact information
Practice address
47 WEST 6TH STREET, GRAFTON, ND 58237-8704
(701) 741-3500
(701) 353-0424
Mailing address
47 WEST 6TH STREET, GRAFTON, ND 58237-8704
(701) 741-3500
(701) 353-0424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1288
ND
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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