Doctor Name: | MS. HELENA A GREGOIRE |
NPI Number: | 1295751691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | |
Business Practice Address: | 111 17th St Ne Devils Lake, ND - 583011609 |
Business Phone Number: | 7016652650 |
Business Fax Number: | 7016652650 |
Mailing Address: | 111 17th St Ne, DEVILS LAKE |
State: | ND |
Postal Code: | 583011609 |
Phone Number: | 7016652650 |
Fax Number: | 7016652650 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |