Organization
DRAKE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI VAREBERG (BUSINESS MANAGER)
(701) 293-5429
Entity
Organization
Contact information
Practice address
28579 US HIGHWAY 10, DETROIT LAKES, MN 56501-7308
(218) 847-1329
(218) 847-1398
Mailing address
1202 23 ST S, FARGO, ND 58103
(701) 293-5429
(701) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1073
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002
—
ND
Enumeration date
09/07/2007
Last updated
09/23/2016
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