Wallace Larry Klostreich, LAC is an addiction (substance use disorder) counselor in Bismarck, ND. Wallace Larry Klostreich, LAC NPI is 1073540415. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1237 W DIVIDE AVE
STE 5
BISMARCK, ND
ZIP 58501-208
Phone: (701) 328-8892
Fax: (701) 328-8900
The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/8/2007.