Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LACEY JEAN GLUECKERT, LAC
ActiveAddiction (Substance Use Disorder) Counselor · WILLISTON, ND
Registration Details
- NPI Number
- 1518083120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.085430282706 yrs)
- Last Updated
- Jul 1, 2024
- License
-
1577 (ND)
Practice Information
- Address
-
705 E HIGHLAND DR STE EWILLISTON, ND, 588014494Browse ND providers · Browse ZIP 58801
- Phone
- 7017709743
- Fax
- 7015725410
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WILLISTON, ND
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE RENEE MONTGOMERY | BA/LAC | 1356387914 |
| MRS. TANYA M FOX | LAC | 1700813029 |
| RONALD K QUALLEY | LAC | 1174609671 |
| SHANNON M WANGSVICK | LAC | 1336228824 |
| STEPHEN WALTER CONMY | LCAC | 1164575973 |
| MR. DONALD DEAN WAHUS | LAC, NCACII, SAP | 1215178504 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.