Wallace Larry Klostreich LAC

  • NPI 1073540415
According to our database, the NPI number for Wallace Larry Klostreich LAC is 1073540415 and activated since 17 years ago. Wallace Larry Klostreich LAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1237 W Divide Ave, Bismarck, ND 58501. You can also contact Wallace Larry Klostreich LAC via telephone number is (701) 328-8892. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of Wallace Larry Klostreich LAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/28/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1073
  • License State: ND

Provider Mailing Address

  • Address: 1237 W Divide Ave
    Ste 5
    Bismarck, ND 58501
  • Phone: 701-328-8892
  • Fax: 701-328-8900

Provider Practice Location

  • Address: 1237 W Divide Ave
    Ste 5
    Bismarck, ND 58501
  • Phone: 701-328-8892
  • Fax: 701-328-8900

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1073
  • License State: ND
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 024576
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BCBS OF ND

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wallace Larry Klostreich LAC?
  • A: The npi number for Wallace Larry Klostreich LAC is 1073540415.
  • Q: What are Wallace Larry Klostreich LAC's specialties?
  • A: Wallace Larry Klostreich LAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Wallace Larry Klostreich LAC?
  • A: The medical license number for Wallace Larry Klostreich LAC is 1073 and issued in ND in USA.
  • Q: Where is Wallace Larry Klostreich LAC practice location?
  • A: Wallace Larry Klostreich LAC is practicing at 1237 W Divide Ave, Bismarck, ND 58501.
  • Q: How to contact Wallace Larry Klostreich LAC?
  • A: You can contact Wallace Larry Klostreich LAC via 701-328-8892.