| Mrs Crystal Ann Bostow Liddycoat, MA, LAC, LPC | |
|
726 13th Ave E, West Fargo, ND 58078-3304 | |
| (971) 500-2661 | |
| Not Available |
| Full Name | Mrs Crystal Ann Bostow Liddycoat |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 726 13th Ave E, West Fargo, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356581227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1596 (North Dakota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 621-12-15-08 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Crystal Ann Bostow Liddycoat, MA, LAC, LPC 2910 38th Ave S, Fargo, ND 58104-7061 Ph: (530) 799-0499 | Mrs Crystal Ann Bostow Liddycoat, MA, LAC, LPC 726 13th Ave E, West Fargo, ND 58078-3304 Ph: (971) 500-2661 |
Andrea Joy Klobuchar, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W Beaton Dr Ste 103, West Fargo, ND 58078 Phone: 701-730-8313 Fax: 701-552-7975 | |
Valerie Austin, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 34th Ave E Apt 103, West Fargo, ND 58078 Phone: 701-491-8260 | |
Ms. Erin R Hagen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Oak Ridge Loop E, West Fargo, ND 58078 Phone: 701-478-7199 Fax: 701-478-1763 | |
Amber Bach-gorman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3227 Oak Ridge Loop E, West Fargo, ND 58078 Phone: 701-419-8702 Fax: 701-520-8457 | |
Tracy Kay Lemar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 13th Ave E, West Fargo, ND 58078 Phone: 701-364-0060 Fax: 701-364-0065 | |
Tena Lorayn Prestidge, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3220 4th St E Ste 102, West Fargo, ND 58078 Phone: 701-501-7449 Fax: 701-425-0322 |