| Vita Counseling | |
|
1351 Page Dr S Ste 104 Fargo ND 58103-3536 | |
| (701) 429-4724 | |
| (701) 532-0788 |
| Full Name | Vita Counseling |
|---|---|
| Speciality | Clinic/center |
| Location | 1351 Page Dr S Ste 104, Fargo, North Dakota |
| Authorized Official Name and Position | Jeffrey D Bates (PRESIDENT) |
| Authorized Official Contact | 7014294724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Counseling 3453 Interstate Blvd S Ste B Fargo ND 58103-2257 Ph: (701) 429-4724 | Vita Counseling 1351 Page Dr S Ste 104 Fargo ND 58103-3536 Ph: (701) 429-4724 |
| NPI Number | 1154950244 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154950244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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