MS. DENISE RANAE GERINGER LCSW, LAC

Addiction Substance Use Disorder

Jamestown, North Dakota

Provider NPI: 1033148853

Provider Information:
MS. DENISE RANAE GERINGER LCSW, LAC
Gender: F
Not Sole Proprietor

Practice Location:
300 2ND AVE NE  JAMESTOWN, ND 58401 US
Tel: 701-251-6000  Fax: 701-323-5709

Business Mailing Address:
PO BOX 5074  SIOUX FALLS, SD 57117 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
N	101Y00000X	Behavioral Health & Social Service Providers Counselor
N	101YA0400X	Behavioral Health & Social Service Providers Counselor	ND	1489
Y	1041C0700X	Behavioral Health & Social Service Providers Social Worker	ND	3480

Other Provider Identifiers:

Issuer	Number	State	Type
	54521	ND	05
	1473935	ND	05
BCBS MN PROVIDER NUMBER	60K4OL	ND	01
BCBS ND PROVIDER NUMBER	024993	ND	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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