Individual
MS. VANESSA R HANDTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LPC
Contact information
Practice address
2624 9TH AVE SW, SOUTHEAST HUMAN SERVICE CENTER, FARGO, ND 58103-2350
(701) 298-4445
Mailing address
1513 40TH AVE S, FARGO, ND 58104
(701) 364-2331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1383
ND
101YP2500X
Professional Counselor
578-2-15-07
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25640
BCBS
—
01
—
412781043738
PREFERRED ONE
—
Enumeration date
11/07/2006
Last updated
04/04/2008
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