Provider Demographics
NPI:1033274394
Name:HALLSTEN, LINDSEY ABERLE (LAC LICENSED ADDICTI)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:ABERLE
Last Name:HALLSTEN
Suffix:
Gender:F
Credentials:LAC LICENSED ADDICTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 23 ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:701-293-5429
Mailing Address - Fax:701-293-0736
Practice Address - Street 1:300 2ND AVE NE
Practice Address - Street 2:SUITE 215
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401
Practice Address - Country:US
Practice Address - Phone:701-952-1250
Practice Address - Fax:701-952-1252
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1551101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)