Healthcare Provider Details

I. General information

NPI: 1285561704
Provider Name (Legal Business Name): MRS. MARIA C CONTRERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 GRIGGS AVE
GRAFTON ND
58237-1024
US

IV. Provider business mailing address

343 1ST AVE
SAINT THOMAS ND
58276-7503
US

V. Phone/Fax

Practice location:
  • Phone: 701-520-4685
  • Fax:
Mailing address:
  • Phone: 701-520-3960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: