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Thriveworks Clinical - North Dakota PC

Counselor, Mental Health in Fargo, ND. Organization (NPI-2).

NPI number1194422014
StatusActive
Last updated in NPPESFeb 10, 2023

Details

NPI
1194422014
Entity type
Organization (NPI-2)
Legal business name
Thriveworks Clinical - North Dakota PC
Organization subpart
No
Enumeration date
Feb 10, 2023
Certification date
Feb 10, 2023
Last updated
Feb 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3245 42nd St S Ste 100
Fargo, ND 58104-7178

Phone 855-284-7483

Mailing address

Po Box 748465
Atlanta, GA 30374-8465

Phone 855-284-7483

Authorized official

Anthony Centore
Ceo
5402176461

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