Wallace Larry Klostreich, LAC - Counselor in Bismarck, ND

Wallace Larry Klostreich, LAC is a Counselor - Addiction (substance Use Disorder) based in Bismarck, North Dakota. Wallace Larry Klostreich is licensed to practice in North Dakota (license number 1073) and his current practice location is 1237 W Divide Ave, Ste 5, Bismarck, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 328-8892.

NPI number for Wallace Larry Klostreich is 1073540415 and his current mailing address is 1237 W Divide Ave, Ste 5, Bismarck, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073540415.

Contact Information

Wallace Larry Klostreich, LAC
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1208
(701) 328-8892
(701) 328-8900

Healthcare Provider's Profile

Full NameWallace Larry Klostreich
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1237 W Divide Ave, Bismarck, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073540415
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Wallace Larry Klostreich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073540415NPI-NPPES
024576OtherBCBS OF ND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1073 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wallace Larry Klostreich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wallace Larry Klostreich, LAC
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1208

Ph: (701) 328-8892
Wallace Larry Klostreich, LAC
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1208

Ph: (701) 328-8892

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› Verified 3 days ago


Counselor in Bismarck, ND

Victoria Ngatia, LAPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4530 Northern Sky Dr, Bismarck, ND 58503
Phone: 701-751-6336    Fax: 701-751-6337
Sandra Bender,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1800 E Interstate Ave, Bismarck, ND 58503
Phone: 701-323-8800    
Sue A Mock, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501
Phone: 701-328-8763    Fax: 701-328-8900
Tara Moszer, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501
Phone: 701-328-8888    Fax: 701-328-8900
Julie Ann Aman, OTR/L
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 311 N 11th St, Bismarck, ND 58501
Phone: 701-530-7256    Fax: 701-530-7257
Mrs. Patricia Mary Hulm, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 600 S 2nd St, Suite 201, Bismarck, ND 58504
Phone: 701-258-3780    Fax: 701-751-1328
Patrick L Joyce, LAPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 1237 W Divide Ave Ste 5, Bismarck, ND 58501
Phone: 701-328-8888    

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