Organization
RAY OF HOPE COUNSELONG SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA LYNN CROWE LAC, LADC (CLINICAL SUPERVISOE)
(701) 793-7692
Entity
Organization
Contact information
Practice address
3140 BLUE STEM DR, #405, WEST FARGO, ND 58078-8009
(701) 793-7692
Mailing address
3140 BLUE STEM DR, #405, WEST FARGO, ND 58078-8009
(701) 793-7692
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1651
ND
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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