Allen R Decoteau LAC

NPI 1114048311 - Counselor - 101YA0400X

NPI Details
NPI 1114048311
Gender Male
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
905 E INTERSTATE AVE
BISMARCK ND, 58503-0549, US
Phone (701) 222-4673
Fax (701) 222-3947
Business Location
905 E INTERSTATE AVE
BISMARCK ND, 58503-0549, US
Phone (701) 222-4673
Fax (701) 222-3947
Toxanomy
Taxonomy Code 101YA0400X
License State North Dakota
License Number 1464
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According to our database, Allen R Decoteau LAC NPI is 1114048311, taxonomy code is 101YA0400X and license number is 1464, license state is located at North Dakota. Allen R Decoteau LAC physically located at 905 E Interstate Ave, Bismarck ND, 58503-0549. NPI Number Allen R Decoteau LAC has the Individual type.

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1114048311 NPI number is provided on an as is basis without warranty of any kind. 1114048311 is maintained by the National Plan & Provider Enumeration System. The contents of Allen R Decoteau LAC are for informational purposes only.