Individual
MICHAEL CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
7965 COUNTY 1, DEVILS LAKE, ND 58301-8914
(701) 253-6326
Mailing address
7965 COUNTY 1, DEVILS LAKE, ND 58301-8914
(701) 253-6326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1457
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019716
BCBS PIN
ND
05
—
54521
—
ND
Enumeration date
06/19/2006
Last updated
10/21/2010
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