Medicine Horse Counseling, PLLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Rocklake, ND
NPI 1003367103 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1003367103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 1605 (ND)
- Legal business name
- MEDICINE HORSE COUNSELING, PLLC
- Practice address
- 10435 63Rd Ave NE
Rocklake, ND 58365-9517 - Phone
- (701) 266-5118
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Wanda Jean Lamotte-Peterson, LAC
- Title
- Owner/Director
- Phone
- (701) 266-5118
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1605 | ND | Yes |
Addresses
Primary practice location
10435 63Rd Ave NE
Rocklake, ND 58365-9517
Mailing address
10435 63Rd Ave NE
Rocklake, ND 58365-9517
Phone (701) 266-5118
Other providers in Rocklake, ND
All providers in Rocklake, ND · Substance Abuse Rehabilitation Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.