Organization
DRAKE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI VAREBERG (ADMINISTRATIVE DIRECTOR)
(701) 293-5429
Entity
Organization
Contact information
Practice address
919 8 AVE N, MOORHEAD, MN 56561
(701) 293-5429
(701) 293-0736
Mailing address
1202 23 ST S, FARGO, ND 58103
(701) 293-5429
(701) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002
—
ND
Enumeration date
02/07/2008
Last updated
02/07/2008
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