Healthcare Provider Details

I. General information

NPI: 1902741739
Provider Name (Legal Business Name): DANICA STAHLHUT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 12TH AVE NE STE 1
JAMESTOWN ND
58401-2864
US

IV. Provider business mailing address

1307 12TH AVE NE STE 1
JAMESTOWN ND
58401-2864
US

V. Phone/Fax

Practice location:
  • Phone: 701-252-6066
  • Fax:
Mailing address:
  • Phone: 701-252-6066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6723
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: