Organization
COUNTRY COUNSELING & CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L HANSON LICSW (PRESIDENT)
(701) 665-5433
Entity
Organization
Contact information
Practice address
400 12TH AVE NE, DEVILS LAKE, ND 58301-2712
(701) 665-5433
Mailing address
400 12TH AVE NE, DEVILS LAKE, ND 58301-2712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
23613700
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19186
—
ND
Enumeration date
03/04/2008
Last updated
03/04/2008
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