WALLACE KLOSTREICH, LAC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1073540415

Practice Address

1237 W DIVIDE AVE
STE 5
Bismarck, ND 58501

Phone: (701) 328-8892

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 1073 (ND)

Frequently Asked Questions

NPI 1073540415 is the National Provider Identifier for WALLACE KLOSTREICH, LAC, a Counselor - Addiction (Substance Use Disorder) provider located in Bismarck, ND. This NPI was enumerated on June 28, 2006.
WALLACE KLOSTREICH, LAC practices at 1237 W DIVIDE AVE, STE 5, Bismarck, ND 58501.

Quick Facts

NPI
1073540415
Type
Individual
Enumerated
Jun 28, 2006
Last Updated
Jul 8, 2007

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