Organization · NPI-2

Andersen Counseling, PC

Counselor, Professional · Fargo, ND

NPI number1164898136
StatusActive
Last updated in NPPESAug 13, 2015

Details

NPI
1164898136
Entity type
Organization (NPI-2)
Legal business name
Andersen Counseling, PC
Organization subpart
No
Enumeration date
Aug 13, 2015
Last updated
Aug 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional51710104176NDYes

Practice location

624 Main Ave
Fargo, ND 58103-1966

Phone 701-793-7822 · Fax 702-537-7097

Mailing address

624 Main Ave
Fargo, ND 58103-1966

Phone 701-793-7822 · Fax 702-537-7097

Authorized official

Mary Jo Elizabeth Andersen
Clinical Counselor / Owner
7017937822

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