Individual
MICHAEL JOEL MELGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 371-3558
Mailing address
1805 2ND AVE SW APT 209, MINOT, ND 58701-3499
(701) 371-3558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1652
ND
Other
Enumeration date
09/01/2011
Last updated
03/13/2013
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