Organization
ABUNDANT GRACE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA STIVERS LMAC (OWNER/LMAC)
(701) 641-0313
Entity
Organization
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
—
—
Other
Enumeration date
12/11/2024
Last updated
12/18/2024
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