Individual
ALLISON HOFSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
210 HIGHWAY 2 W STE 10, DEVILS LAKE, ND 58301-2913
(701) 662-1046
(888) 893-7316
Mailing address
6991 86TH AVE NE, STARKWEATHER, ND 58377-9317
(701) 292-4217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ND
225X00000X
Occupational Therapist
839
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23465
BCBS
ND
01
—
27220
BCBS
ND
05
—
54578
—
ND
05
—
616055700
—
MN
Enumeration date
09/27/2006
Last updated
01/04/2017
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