Individual
JENNIFER LYNN GATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, LPCC
Contact information
Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1220
(701) 328-8842
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1220
(701) 328-8842
(701) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1701
ND
101YP2500X
Professional Counselor
Primary
838-6-1-15-301
ND
Other
Enumeration date
01/16/2014
Last updated
01/09/2019
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