Doctor Name: | MS. LINDSEY ABERLE HALLSTEN |
NPI Number: | 1033274394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC LICENSED ADDICTI |
License Number: | 1551 |
Business Practice Address: | 300 2nd Ave Ne Suite 215 Jamestown, ND - 58401 |
Business Phone Number: | 7019521250 |
Business Fax Number: | 7019521252 |
Mailing Address: | 1202 23 St S, FARGO |
State: | ND |
Postal Code: | 58103 |
Phone Number: | 7012935429 |
Fax Number: | 7012930736 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |