Organization
DAKOTA FAMILY SERVICES, INC
Active
Other names
Dakota Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONDELL L GANTZER (OFFICE MANAGER)
(701) 858-0115
Entity
Organization
Contact information
Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 837-6508
(701) 858-1839
Mailing address
PO BOX 1148, MINOT, ND 58702-1148
(701) 858-0115
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06641001
BLUE CROSS BLUE SHIELD ND
ND
05
—
13527
—
ND
Enumeration date
03/28/2006
Last updated
07/20/2009
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