Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Larry Klostreich, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073540415

Wallace Larry Klostreich, LAC is an Addiction (Substance Use Disorder) Counselor in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208
Phone: (701) 328-8892
Fax: (701) 328-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1073 (ND)

Record details

NPI number1073540415
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 8, 2007

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