Carlee Rae Bollwerk, LAPC
Individual provider Active NPI Professional Counselor · Williston, ND
NPI 1689490989 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1689490989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1402-11-1-24A (ND)
- Practice address
- 2224 1St Ave W Ste 4
Williston, ND 58801-6286 - Phone
- (701) 572-3335
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Shannon Licsw LLC | Current |
Accepting new patients |
Locations
2224 1st Ave W
Ste 4
Williston, ND 58801
Phone (701) 572-3335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1402-11-1-24A | ND | Yes |
Addresses
Primary practice location
2224 1St Ave W Ste 4
Williston, ND 58801-6286
Mailing address
2224 1St Ave W Ste 4
Williston, ND 58801-6286
Phone (701) 572-3335
Other providers in Williston, ND
- Billings Clinic
- Kathleen L Binde
- Angela Margaret Black
- Nana Oforiwaa Boateng
- Brittany Bollinger
- Stacie Bondy
- Teresa Book
- Elizabeth Boots
- Tonja Bopp
- Emma Boreson
All providers in Williston, ND · Professional Counselor 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 Dec 2, 2024. 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.