Provider Demographics
NPI:1356777239
Name:NEVLAND, ZACHARIAH E (LAC, LAPC)
Entity type:Individual
Prefix:MR
First Name:ZACHARIAH
Middle Name:E
Last Name:NEVLAND
Suffix:
Gender:M
Credentials:LAC, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHAMBERS & BLOHM PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:309 N MANDAN ST SUITE 1
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501
Mailing Address - Country:US
Mailing Address - Phone:701-323-0924
Mailing Address - Fax:
Practice Address - Street 1:309 N MANDAN ST STE 1
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3886
Practice Address - Country:US
Practice Address - Phone:701-323-0924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1715101YA0400X
ND973-8-15-18A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)