Provider Demographics
NPI:1295265338
Name:STRAND, SHEENA (LCAC)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:STRAND
Suffix:
Gender:F
Credentials:LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 BURNT BOAT DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0801
Mailing Address - Country:US
Mailing Address - Phone:701-255-3717
Mailing Address - Fax:
Practice Address - Street 1:1720 BURNT BOAT DR STE 203
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0801
Practice Address - Country:US
Practice Address - Phone:701-255-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1813101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)