| Experience Counseling Services | |
|
3523 45th St S Fargo ND 58104-8962 | |
| (701) 639-6561 | |
| Not Available |
| Full Name | Experience Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3523 45th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Amanda Rae Decker (CEO) |
| Authorized Official Contact | 7016396561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Counseling Services 3523 45th St S Fargo ND 58104-8962 Ph: (701) 639-6561 | Experience Counseling Services 3523 45th St S Fargo ND 58104-8962 Ph: (701) 639-6561 |
| NPI Number | 1194262014 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194262014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1633 (North Dakota) | Primary |
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