Andersen Counseling, PC
Organization Active NPI Professional Counselor · Fargo, ND
NPI 1164898136 · NPPES record last updated Aug 13, 2015
Key facts
- NPI
- 1164898136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 51710104176 (ND)
- Legal business name
- ANDERSEN COUNSELING, PC
- Practice address
- 624 Main Ave
Fargo, ND 58103-1966 - Phone
- (701) 793-7822
- Fax
- (702) 537-7097
- NPI assigned
- Aug 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Mary Jo Elizabeth Andersen, LPCC
- Title
- Clinical Counselor / Owner
- Phone
- (701) 793-7822
National Provider Directory
Locations
624 Main Ave
Fargo, ND 58103
Phone (701) 793-7822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 51710104176 | ND | Yes |
Addresses
Primary practice location
624 Main Ave
Fargo, ND 58103-1966
Mailing address
624 Main Ave
Fargo, ND 58103-1966
Phone (701) 793-7822
Other providers in Fargo, ND
- Crystal Ann Magsam Amundson
- Troy Amunrud
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- Geoffrey Leigh Anda
- London Andel
- Amy Andersen
- Charlotte Marie Andersen
- Jeffrey B Andersen
- Kimberly Andersen
- Mary Jo Elizabeth Andersen
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.