Individual
NANCY ANN EXNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LAC, LSW
Contact information
Practice address
8980 38TH ST SE, JAMESTOWN, ND 58401-9709
(701) 252-8292
Mailing address
8980 38TH ST SE, JAMESTOWN, ND 58401-9709
(701) 252-8292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1028
ND
101YP2500X
Professional Counselor
Primary
89719187
ND
104100000X
Social Worker
380
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009191
BCBS PROVIDER NUMBER LAC
ND
01
—
018044
BCBS PROVIDER NUMBER LPCC
ND
Enumeration date
08/21/2006
Last updated
08/02/2010
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