Individual
GERALD ALLEN STENEHJEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4600
(701) 774-4620
Mailing address
PO BOX 1266, NORTHWEST HUMAN SERVICES CENTER, WILLISTON, ND 58802-1266
(701) 774-4600
(701) 774-4620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
848 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000070836
BLUE CROSS-SHIELD OF MONTANA PROVIDER #
MT
01
—
P00718779 C01340
RAILROAD MEDICARE
MT
Enumeration date
08/25/2008
Last updated
11/20/2009
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