Individual provider · NPI-1

Stephanie Anne Abbott, LAPC

Counselor, Professional · Fargo, ND

NPI number1578048625
StatusActive
Last updated in NPPESAug 26, 2020

Details

NPI
1578048625
Entity type
Individual (NPI-1)
Name
Stephanie Anne Abbott
Credential
LAPC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2018
Certification date
Aug 26, 2020
Last updated
Aug 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional1042-11-15-19ANDYes
171M00000X Case Manager/Care Coordinator––

Other names

  • Stephanie Anne Brest (Former Name)

Practice location

2624 9th Ave S
Fargo, ND 58103-2350

Phone 701-298-4500 · Fax 701-298-4400

Mailing address

2624 9th Ave S
Fargo, ND 58103-2350

Phone 701-298-4500 · Fax 701-298-4400

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