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Individual

DARLA F DESLAURIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 837-6508
(701) 858-1839
Mailing address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 837-6508
(701) 858-1839

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1381
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27211
BSND
ND
Enumeration date
10/05/2006
Last updated
07/08/2007
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