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AUDREY KAZMIERCZAK COUNSELING SERVICE NPI 1295858454


NPI Information

NPI: 1295858454
Provider Name: AUDREY KAZMIERCZAK COUNSELING SERVICE
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
418 EAST ROSSER AVENUE
SUITE 304
BISMARCK, ND
ZIP 58501
Phone: (701) 471-1170
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AUDREY KAZMIERCZAK COUNSELING SERVICE is an addiction (substance use disorder) counselor in Bismarck, ND. AUDREY KAZMIERCZAK COUNSELING SERVICE NPI is 1295858454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

418 EAST ROSSER AVENUE
SUITE 304
BISMARCK, ND
ZIP 58501-046
Phone: (701) 471-1170

The provider's authorized official is Audrey Kazmierczak .
The authorized official title is Owner Director Counselor and has the following contact phone number (701) 471-1170.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LAC1243NORTH DAKOTAYes
2101YP2500XCounselorProfessionalLPCC93719165NORTH DAKOTAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
122619OTHERNORTH DAKOTABCBS
221792OTHERNORTH DAKOTABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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