Individual
KYLEE R VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LMAC
Contact information
Practice address
120 N 3RD ST STE 230, BISMARCK, ND 58501-3874
(701) 890-2844
Mailing address
4085 INTREPID CIR, BISMARCK, ND 58504-8851
(701) 220-9547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1704
ND
101YP2500X
Professional Counselor
937-2-1-18
ND
101YP2500X
Professional Counselor
Primary
937-2-1-18-404
ND
101YS0200X
School Counselor
425810
ND
Other
Enumeration date
06/03/2014
Last updated
11/11/2025
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