Individual
MS. LOREE M IVANETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, NCAC II
Contact information
Practice address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Mailing address
1463 I94 BUSINESS LOOP E, DICKINSON, ND 58601-6434
(701) 227-7500
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1340
ND
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
12/21/2007
Last updated
12/02/2021
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