Individual
MAT ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BRAMAN AVE, BISMARCK, ND 58501-2742
(701) 269-9835
(605) 725-8055
Mailing address
1320 BRAMAN AVE, BISMARCK, ND 58501-2742
(701) 269-9835
(605) 725-8055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
122981522
ND
101YP2500X
Professional Counselor
LPC20608
SD
Other
Enumeration date
08/27/2018
Last updated
03/08/2023
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