Heather Ellen Guttormson, MS, LMFT
Individual provider Active NPI Marriage & Family Therapist · Fargo, ND
NPI 1942563705 · NPPES record last updated Jun 18, 2012
Key facts
- NPI
- 1942563705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 200930 (ND)
- Practice address
- 2624 9TH Ave S
Fargo, ND 58103-2350 - Phone
- (701) 298-4500
- Fax
- (701) 298-4400
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200930 | ND | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 200930 | ND | Yes |
Addresses
Primary practice location
2624 9TH Ave S
Fargo, ND 58103-2350
Mailing address
2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500
Other providers in Fargo, ND
- Sandhya Gurung
- Monica Annette Gussiaas
- Nancy J Gustafson Luthi
- Francisco Gutierrez
- Ric Gutierrez
- Chaske Sage Guy
- Daniel Gwynn
- Frederick Nkrumah Gyabaah
- Jaclyn Haak
- Heather Marie Haarstad
All providers in Fargo, ND · Marriage & Family Therapist 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 Jun 18, 2012. 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.