Individual
JONA RAE PELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1015 HOSPITAL RD SUITE A, BELCOURT, ND 58316-0160
(701) 477-0455
(701) 477-0457
Mailing address
1015 HOSPITAL RD. SUITE A, PO BOX 1149, BELCOURT, ND 58316-0160
(701) 477-0455
(701) 477-0457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4507
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01063
—
ND
Enumeration date
11/23/2010
Last updated
10/19/2016
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