| Integrated Counseling Services | |
|
1132 28th Ave S Suite 102 Moorhead MN 56560-4420 | |
| (218) 731-2320 | |
| (218) 867-3712 |
| Full Name | Integrated Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1132 28th Ave S, Moorhead, Minnesota |
| Authorized Official Name and Position | Carol Collette Follingstad (LICENSED PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 2187312320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Services 1132 28th Ave S Suite 102 Moorhead MN 56560-4420 Ph: (218) 731-2320 | Integrated Counseling Services 1132 28th Ave S Suite 102 Moorhead MN 56560-4420 Ph: (218) 731-2320 |
| NPI Number | 1437582566 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437582566 | NPI | - | NPPES |
| 668524200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP4052 (Minnesota) | Primary |
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