Wedin-Gorden, Penny Dawn

Wedin-Gorden, Penny Dawn is an individual health care provider with primary practice located at 1237 W Divide Ave Ste 5, Bismarck ND 58501-1290. 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wedin-Gorden, Penny Dawn can be contacted via phone (701) 328-8832.

Contact Information

Primary practice address
1237 W Divide Ave Ste 5 Bismarck ND 58501-1290
Phone: (701) 328-8832
Fax: (701) 328-8900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1526 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2031 North Dakota

Profile Details

NPI number 1093757205
LBN Legal business name Wedin-Gorden, Penny Dawn
Credentials LICSW,LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1093757205 NPPES
Other N21925 RR MEDICARE PIN
Other 021925 RR MEDICARE PIN

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