Individual provider · NPI-1

John Gerard Altendorf, MEd LPCC

Counselor · Fargo, ND

NPI number1801999461
StatusActive
Last updated in NPPESNov 14, 2022

Details

NPI
1801999461
Entity type
Individual (NPI-1)
Name
Mr. John Gerard Altendorf
Credential
MEd LPCC
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 7, 2006
Certification date
Nov 14, 2022
Last updated
Nov 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor347319655NDYes
101YP1600X Counselor, Pastoral347319655ND

Practice location

1351 Page Dr S Ste 100
Fargo, ND 58103-3536

Phone 701-412-7345 · Fax 701-478-4044

Mailing address

1351 Page Dr S Ste 100
Fargo, ND 58103-3536

Phone 701-412-7345 · Fax 701-478-4044

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