MS. KAREN H. SAKELLARIOU LAC
Addiction Substance Use Disorder
Dickinson, North Dakota
Provider NPI: 1558388249
Provider Information:MS. KAREN H. SAKELLARIOU LAC
Gender: F
Not Sole Proprietor
Practice Location:
200 PULVER HALL DICKINSON, ND 58601 US
Tel: 701-227-1581 Fax: 701-227-7575
Business Mailing Address:
200 PULVER HALL DICKINSON, ND 58601 US
Tel: 701-227-1581 Fax: 701-227-7575
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ND | 1201 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
54523 | ND | 05 | |
BCBS PIN | 09111 | ND | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin