NPI 1023054210

Sue a Mock, LAC

Practitioner Addiction (Substance Use Disorder) Counselor Bismarck, ND

Practice location

Address: 1237 W Divide Ave STE 5, Bismarck, ND 58501-1208
Phone: (701) 328-8763
Fax: (701) 328-8900

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1307 (ND)

Other Counselor providers in North Dakota →

Registry record

NPI: 1023054210
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.