Organization · Type 2 NPI

White Earth Band of Chippewa Indians

Professional Counselor · White Earth, MN

NPI number 1033597216 Active

Practice location

35233 Mission Lake Road
White Earth, MN 56591

Call (218) 983-4180 Map

Fax (218) 983-3767

Mailing address

PO Box 418
White Earth, MN 56591-0418

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	0504 (MN)

Professional Counselor: Definition to come...

NPI record

NPI: 1033597216
Entity type: Organization (Type 2)
Issued: May 8, 2015
Last updated: May 8, 2015
Status: Active
Subpart: Yes of White Earth Band of Chippewa Indians

Other names

<unavail>
White Earth Education Division Children's Services · other name

Authorized official

Joan Lavoy
Education Director
(218) 983-3285

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033597216

White Earth Band of Chippewa Indians's National Provider Identifier is 1033597216, issued on May 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White Earth, MN. The record was last updated on May 8, 2015.