Individual provider · Type 1 NPI

Mindy Manock, LAC

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1780867911 Active

Practice location

510 4th St S
Fargo, ND 58103-1914

Call (701) 476-7200 Map

Fax (701) 476-7261

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1563 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780867911

Mindy Manock, LAC's National Provider Identifier is 1780867911, issued on Dec 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Dec 11, 2007.