CONNIE STEVENS LAC
NPI 1225197270
Counselor - Addiction (Substance Use Disorder) in Fargo, ND
Active since December 06, 2006
About Connie Stevens Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE STEVENS LAC (NPI 1225197270) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1336) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1225197270
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCONNIE STEVENSCredential: LAC
Location Address4227 9TH AVE SFargo, ND 58103-2018
Mailing Address4227 9th Ave SFargo, ND 58103-2018 · (701) 282-6561 · Fax (701) 277-0306
Phone(701) 282-6561
Fax(701) 277-0306
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225197270 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1336
4227 9TH AVE S, Fargo, ND 58103
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
FARGO, ND 58103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225197270, enumerated as an "individual" on December 06, 2006.
The provider is located at 4227 9TH AVE S FARGO, ND 58103 and the phone number is (701) 282-6561.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).