Individual
TONJA BOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Mailing address
1102 7TH AVE E, WILLISTON, ND 58801-4450
(701) 572-7262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1970
ND
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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