Individual
BENJAMEN DAVID POITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-6111
(701) 477-2509
Mailing address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-9112
(701) 477-6111
(701) 477-2509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
684-5-1-11-256
ND
101YP2500X
Professional Counselor
Primary
684-5-1-11-256
ND
Other
Enumeration date
07/23/2013
Last updated
09/12/2016
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