Individual
TANA RAE HOORNAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
600 S 2ND ST, BISMARCK, ND 58504-5726
(701) 258-3780
(701) 751-1328
Mailing address
600 S 2ND ST, BISMARCK, ND 58504-5726
(701) 258-3780
(701) 751-1328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1124-5-15-21A
ND
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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