Individual
MS. DELAINE BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. LAC
Contact information
Practice address
202 CENTRAL AVE S, VALLEY CITY, ND 58072-3325
(701) 845-2498
(701) 845-9984
Mailing address
202 CENTRAL AVE S, VALLEY CITY, ND 58072-3325
(701) 845-2498
(701) 845-9984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1163
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
1423
ND
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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