Individual
MIRANDA K COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
4007 STATE ST STE 106, BISMARCK, ND 58503-0689
(701) 299-3552
(701) 299-4521
Mailing address
4007 STATE ST STE 106, BISMARCK, ND 58503-0689
(701) 299-3552
(701) 299-4521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1644
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454399
—
ND
Enumeration date
04/25/2013
Last updated
07/28/2023
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