Individual
STEPHANIE ANN ISAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
1334 COLUMBIA DRIVE, BISMARCK, ND 58504
(701) 955-8414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1079-8-1-20A
ND
171M00000X
Case Manager/Care Coordinator
Primary
1079-8-1-20
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079-8-1-20A
—
ND
Enumeration date
07/28/2020
Last updated
11/29/2023
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