DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY KAZMIERCZAK, MA, LAC, LPCC, MAC

Active Sole Proprietor

AUDREY KAZMIERCZAK, MA, LAC, LPCC, MAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BISMARK, North Dakota. NPI 1609026277 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · BISMARK, ND

Registration Details

NPI Number
1609026277
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2008 (17.888866985357 yrs)
Last Updated
Sep 19, 2008
Licenses
LAC1243 (ND)
LPCC93-7-1-91-65 (ND)
Sole Proprietor
Yes

Practice Information

Address
418 EAST ROSSER AVENUE
SUITE 304
BISMARK, ND, 583014046
Browse ND providers · Browse ZIP 58301
Phone
7014711170
Additional Specialty
Professional Counselor
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.