Individual
SHONDA N STIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 MAIN ST, WILLISTON, ND 58801-5317
(701) 641-0313
Mailing address
623 MAIN ST, WILLISTON, ND 58801-5317
(701) 641-0313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1825
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/09/2016
Last updated
12/11/2024
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