Organization
ALLIANCE MEDIATION & THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HUEBSCHWERLEN LICSW (SOCIAL WORKER/ THERAPIST, MEDIATOR)
(701) 751-1549
Entity
Organization
Contact information
Practice address
418 E BROADWAY AVE, SUITE 216, BISMARCK, ND 58501-4086
(701) 751-1549
(701) 751-1549
Mailing address
418 E BROADWAY AVE, SUITE 216, BISMARCK, ND 58501-4086
(701) 751-1549
(701) 751-1549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19283
—
ND
Enumeration date
01/27/2011
Last updated
03/18/2014
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