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Individual

ELISE ANNE RONSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8760
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8760
(701) 328-8900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1322
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015481
BCBS OF ND
Enumeration date
07/09/2006
Last updated
05/28/2014
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