Individual
MARSHA WIEGLENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
24 W VILLARD ST STE B, DICKINSON, ND 58601-5152
(701) 483-0795
(701) 483-0947
Mailing address
24 W VILLARD ST STE B, DICKINSON, ND 58601-5152
(701) 483-0795
(701) 483-0947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1328
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473809
—
ND
01
—
4626
BCBS ND
ND
Enumeration date
03/30/2007
Last updated
04/05/2018
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