Individual
BRENDA MOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
(701) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1702
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/02/2009
Last updated
08/23/2013
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