Individual
MRS. NANCY BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E MAIN AVE, SUITE #204, BISMARCK, ND 58501-3857
(701) 989-5648
Mailing address
200 E MAIN AVE, SUITE #204, BISMARCK, ND 58501-3857
(701) 989-5648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1565-COUNSELOR
SC
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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