Individual
ROBERTA J STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, LMAC, LADC, LAT
Contact information
Practice address
4227 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
(651) 925-0046
Mailing address
4227 9TH AVE SW, FARGO, ND 58103-2018
(701) 282-6564
(701) 277-0306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1517
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
302304
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAT-359
WY
Other
Enumeration date
03/27/2008
Last updated
09/23/2020
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