| Andersen Counseling, Pc | |
|
624 Main Ave Fargo ND 58103-1966 | |
| (701) 793-7822 | |
| (702) 537-7097 |
| Full Name | Andersen Counseling, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 624 Main Ave, Fargo, North Dakota |
| Authorized Official Name and Position | Mary Jo Elizabeth Andersen (CLINICAL COUNSELOR / OWNER) |
| Authorized Official Contact | 7017937822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andersen Counseling, Pc 624 Main Ave Fargo ND 58103-1966 Ph: (701) 793-7822 | Andersen Counseling, Pc 624 Main Ave Fargo ND 58103-1966 Ph: (701) 793-7822 |
| NPI Number | 1164898136 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164898136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 51710104176 (North Dakota) | Primary |
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