Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersMR. BRUCE L WORNER LAC
Addiction Substance Use Disorder
Fargo, North Dakota
Provider NPI: 1649286477
Provider Information:MR. BRUCE L WORNER LAC
Gender: M
Not Sole Proprietor
Practice Location:
2624 9TH AVE S FARGO, ND 58103 US
Tel: 701-298-4500 Fax: 701-298-4400
Business Mailing Address:
2624 9TH AVE S FARGO, ND 58103 US
Tel: 701-298-4500 Fax: 701-298-4400
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ND | 1142 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS OF ND PIN | 009119 | ND | 01 |
| BCBS OF MN PIN | 8H387WO | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
