Individual
SHANNON M WANGSVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
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
1548
ND
Other
Enumeration date
11/03/2006
Last updated
06/18/2025
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