Healthcare Provider Details

I. General information

NPI: 1588685010
Provider Name (Legal Business Name): CARRIE L. HJELLMING LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE L. BELLAND LPCC

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 12/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 13TH AVE W SUITE 1
DICKINSON ND
58601-4879
US

IV. Provider business mailing address

300 13TH AVE W SUITE 1
DICKINSON ND
58601-4879
US

V. Phone/Fax

Practice location:
  • Phone: 701-227-7532
  • Fax: 701-227-7575
Mailing address:
  • Phone: 701-227-7532
  • Fax: 701-227-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number467-11-15-01-145
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: