Provider Demographics
NPI:1881112399
Name:KUVAAS, DEIRDRE M (LPCC)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:M
Last Name:KUVAAS
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:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:HORACE
Mailing Address - State:ND
Mailing Address - Zip Code:58047-0101
Mailing Address - Country:US
Mailing Address - Phone:701-404-7895
Mailing Address - Fax:
Practice Address - Street 1:89 5TH ST E
Practice Address - Street 2:
Practice Address - City:HORACE
Practice Address - State:ND
Practice Address - Zip Code:58047-3500
Practice Address - Country:US
Practice Address - Phone:570-730-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305177101YA0400X
OHE.2404393101YM0800X
UT13955309-6004101YM0800X
ND1330-10-15-23-548101YM0800X
MN3568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)