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Individual

MRS. MECHELL D HOLIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1417
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014524
BCBS ND PIN
ND
05
054517
ND
Enumeration date
06/24/2006
Last updated
07/08/2007
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