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NPI Code Detail

MEDICARE: MS. KAREN EAST MSMFT

MEDICARE: MS. KAREN EAST MSMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker12423MN
2106H00000XMarriage & Family Therapist714-124WI
3106H00000XMarriage & Family Therapist2011-037ND
4101YA0400XAddiction (Substance Use Disorder) Counselor594WI
5101YA0400XAddiction (Substance Use Disorder) Counselor11665WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12011-037OTHERNDNORTH DAKOTA MARRIAGE & FAMILY LICENSURE BOARD
212423OTHERMNLICSW
3714-124OTHERWIMSMFT LICENSURE

General Provider Information

NPI Number : 1447352679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN EAST MSMFT
Provider Business Mailing Address
First Line : 504 3RD AVE S
Second Line :
City : NEW ROCKFORD
State : ND
Zip : 58356-1627
Country : US
Telephone Number : 715-416-0088
Fax Number :
Provider Business Practice Location Address
First Line : 816 3RD AVE N
Second Line :
City : FORT TOTTEN
State : ND
Zip : 58335-9998
Country : US
Telephone Number : 701-766-4236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 06/01/2011

Similar Medicare Providers

1124206248 — MS. LINDA F DUCKWITZ LICSW, LAC
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4236
Practice Fax: 701-766-4878
1841619798 — SPIRIT LAKE TRIBE
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4236
Practice Fax: 701-766-4878
1245723410 — SPIRIT LAKE OKICIYAPI
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4862
Practice Fax: 701-766-4878
1710545231 — PUBLIC HEALTH NURSING
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4236
Practice Fax: 701-766-4878
1588209084 — BERTHA GAIL OLAFSON
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4236
Practice Fax: 701-766-4878
1043855539 — JESSICA TWEETON RN
Practice Location Address:
816 3RD AVE N
FORT TOTTEN, ND
58335-9998
Practice Phone: 701-766-4236
Practice Fax: 701-766-4878

Directions to “ MS. KAREN EAST MSMFT” Practice Location

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