Healthcare Provider Details

I. General information

NPI: 1881112399
Provider Name (Legal Business Name): DEIRDRE M KUVAAS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 5TH ST E
HORACE ND
58047-3500
US

IV. Provider business mailing address

PO BOX 101
HORACE ND
58047-0101
US

V. Phone/Fax

Practice location:
  • Phone: 570-730-5157
  • Fax:
Mailing address:
  • Phone: 701-404-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2404393
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number305177
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3568
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13955309-6004
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1330-10-15-23-548
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: