McKenzie M Day, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rolla, ND

NPI 1174301972 · NPPES record last updated Sep 21, 2023

Key facts

NPI
1174301972
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1957 (ND)
Practice address
1102 Main Ave W
Rolla, ND 58367
Phone
(701) 477-9050
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1957 ND Yes

Addresses

Primary practice location

1102 Main Ave W
Rolla, ND 58367

Mailing address

PO Box 1332
Belcourt, ND 58316-1332
Phone (701) 278-1120

Other providers in Rolla, ND

All providers in Rolla, ND · Addiction (Substance Use Disorder) Counselor in North Dakota

Sources for this page

Verify at the official NPI Registry.