Organization
KORI STOCKIE LLC
Active
Other names
Open Range Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
KORI STOCKIE (CEO)
(701) 264-9049
Entity
Organization
Contact information
Practice address
135 SIMS ST STE 202, DICKINSON, ND 58601-5148
(701) 264-9049
Mailing address
135 SIMS ST STE 202, DICKINSON, ND 58601-5148
(701) 264-9049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/04/2021
Last updated
06/18/2024
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