Individual
STACEY S HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CS
Contact information
Practice address
6221 UNIVERSITY DR., BISMARCK, ND 58504
(701) 258-4483
Mailing address
6221 UNIVERSITY DRIVE, BISMARCK, ND 58504
(701) 258-4483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R23455
ND
Other
Enumeration date
09/14/2006
Last updated
01/04/2016
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