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ORVILLE S MANDAN LAC
NPI 1710150099
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since April 08, 2008
4227 9TH AVE SW, FARGO, ND 58103(701) 282-6561(701) 277-0306 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orville S Mandan Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORVILLE S MANDAN LAC (NPI 1710150099) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1409) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1710150099
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameORVILLE S MANDANCredential: LAC
Location Address4227 9TH AVE SWFargo, ND 58103-2018
Mailing Address4227 9th Ave SwFargo, ND 58103-2018 · (701) 282-6561 · Fax (701) 277-0306
Phone(701) 282-6561
Fax(701) 277-0306
Sole ProprietorNo
Enumeration DateApril 8, 2008
✔ NPI 1710150099 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 · 1409
4227 9TH AVE SW, Fargo, ND 58103
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN D GORDON LADC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
SUSAN THERESA GORDON LADC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
ROBERTA R NELSON LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
MR. WILLIAM P SPARKE LICSW
Social Worker (Clinical)
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6651
MOLLY SIEGERT
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 282-6561
SADIE OLSON LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 478-9535
JENNIFER A TILLISCH LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE SW
FARGO, ND 58103
Cass County (701) 478-9535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orville Mandan's NPI number?

The NPI number for Orville Mandan is 1710150099. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Orville Mandan located?

Orville Mandan practices at 4227 9th Ave SW, Fargo, ND 58103. The listed phone number is (701) 282-6561.

What is Orville Mandan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Orville Mandan was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.