Healthcare Provider Details

I. General information

NPI: 1508798943
Provider Name (Legal Business Name): QUINN C. KREBS LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 E BROADWAY AVE STE 70
BISMARCK ND
58501-4064
US

IV. Provider business mailing address

418 E BROADWAY AVE STE 70
BISMARCK ND
58501-4064
US

V. Phone/Fax

Practice location:
  • Phone: 701-419-1899
  • Fax:
Mailing address:
  • Phone: 701-419-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1542-5-15-26A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: