Provider Demographics
NPI:1538754767
Name:ALTHOFF, RHONDA (MS, LAPC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:ALTHOFF
Suffix:
Gender:F
Credentials:MS, LAPC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:KRIEDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4023 STATE ST STE 65
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0638
Mailing Address - Country:US
Mailing Address - Phone:701-299-3353
Mailing Address - Fax:
Practice Address - Street 1:4023 STATE ST STE 65
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0638
Practice Address - Country:US
Practice Address - Phone:701-299-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
ND1316-8-1-23A101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist