Organization
CREATIVE JOURNEY, LLC
Active
Other names
Creative Journey, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAULEE A IVERSON MS OTR/L (OWNER/PRESIDENT)
(701) 658-9032
Entity
Organization
Contact information
Practice address
419 5TH ST NE STE 142, JAMESTOWN, ND 58401-3318
(701) 658-9032
Mailing address
419 5TH ST NE STE 142, JAMESTOWN, ND 58401-3318
(701) 658-9032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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