Individual
MRS. STACI LYNN EKBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4600
Mailing address
316 2ND AVE W, WILLISTON, ND 58801-5218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
609-7-15-08A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54516
—
ND
Enumeration date
07/15/2008
Last updated
07/15/2008
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