| Empowered Life Counseling, Pllc | |
|
4357 13th Avenue S Suite 104 Fargo ND 58103 | |
| (701) 306-8369 | |
| Not Available |
| Full Name | Empowered Life Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4357 13th Avenue S Suite 104, Fargo, North Dakota |
| Authorized Official Name and Position | Maronda Sue Robertson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7013068369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Life Counseling, Pllc 1026 31st Ave W West Fargo ND 58078-8245 Ph: (701) 361-4093 | Empowered Life Counseling, Pllc 4357 13th Avenue S Suite 104 Fargo ND 58103 Ph: (701) 306-8369 |
| NPI Number | 1255924767 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255924767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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