Organization
ADVANCED COUNSELING FOR CHANGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R HAWLEY LICSW (DIRECTOR/OWNER)
(701) 351-1182
Entity
Organization
Contact information
Practice address
424 3RD ST SE, DEVILS LAKE, ND 58301-3605
(701) 351-1182
(701) 662-6234
Mailing address
424 3RD ST SE, DEVILS LAKE, ND 58301-3605
(701) 351-1182
(701) 662-6234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2645
ND
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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