MS. KRISTI L KUNTZ LAC, LSW
Addiction Substance Use Disorder
Grand Forks, North Dakota
Provider NPI: 1760414817
Provider Information:MS. KRISTI L KUNTZ LAC, LSW
Gender: F
Not Sole Proprietor
Practice Location:
151 S 4TH ST SUITE 401 GRAND FORKS, ND 58201 US
Tel: 701-795-3000 Fax: 701-795-3050
Business Mailing Address:
151 S 4TH ST SUITE 401 GRAND FORKS, ND 58201 US
Tel: 701-795-3000 Fax: 701-795-3050
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ND | 1347 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS ND PROVIDER NUMBER | 018088 | ND | 01 |
054519 | ND | 05 | |
BCBS MN PROVIDER NUMBER | 48B82KU | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin