Individual
KAYLA LIEBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2400 BURDICK EXPY E STE 101, MINOT, ND 58701-5006
(701) 335-6005
Mailing address
2400 BURDICK EXPY E STE 101, MINOT, ND 58701-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
143751525A
ND
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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