Provider Demographics
NPI:1073121372
Name:BELGARDE, SHERRY A (ALCOHOL AND DRUG COU)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:A
Last Name:BELGARDE
Suffix:
Gender:F
Credentials:ALCOHOL AND DRUG COU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 520
Mailing Address - Street 2:1105 SHELDON SOURAY AVENUE
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-0520
Mailing Address - Country:US
Mailing Address - Phone:701-477-3121
Mailing Address - Fax:701-477-8925
Practice Address - Street 1:1105 SHELDON SOURAY AVENUE
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-0520
Practice Address - Country:US
Practice Address - Phone:701-477-3121
Practice Address - Fax:701-477-8925
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program