Kazmierczak, Audrey

Kazmierczak, Audrey is an sole proprietor health care provider with primary practice located at 418 East Rosser Avenue Suite 304, Bismark ND 58301-4046. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kazmierczak, Audrey can be contacted via phone (701) 471-1170.

Contact Information

Primary practice address
418 East Rosser Avenue Suite 304 Bismark ND 58301-4046
Phone: (701) 471-1170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAC1243 North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC93-7-1-91-65 North Dakota

Profile Details

NPI number 1609026277
LBN Legal business name Kazmierczak, Audrey
Credentials MA, LAC, LPCC, MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609026277 NPPES
North Dakota Other 22619 BCBS
North Dakota Other 21792 BCBS

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