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Organization

70177WAHUS CONSULTING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD D WAHUS LAC, NCACII, SAP (REGISTERED AGENT)
(701) 572-7217
Entity
Organization

Contact information

Practice address
901 6TH ST W, WILLISTON, ND 58801-4810
(701) 572-7217
Mailing address
901 6TH ST W, WILLISTON, ND 58801-4810
(701) 572-7217

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1204
ND

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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