Provider Demographics
NPI:1295751691
Name:GREGOIRE, HELENA A (LPCC)
Entity type:Individual
Prefix:MS
First Name:HELENA
Middle Name:A
Last Name:GREGOIRE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 17TH ST NE
Mailing Address - Street 2:
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-1609
Mailing Address - Country:US
Mailing Address - Phone:701-665-2650
Mailing Address - Fax:701-665-2650
Practice Address - Street 1:111 17TH ST NE
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-1609
Practice Address - Country:US
Practice Address - Phone:701-665-2650
Practice Address - Fax:701-665-2650
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional