Jane Margaret Austinson Blilie, M.ED., LPC

Individual provider Active NPI Professional Counselor · Fargo, ND

NPI 1962678417 · NPPES record last updated May 5, 2008

Key facts

NPI
1962678417
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3108195 (ND)
Practice address
3220 18TH St S Ste 1a
Fargo, ND 58104-6564
Phone
(701) 232-4177
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

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 Education

State licenses

LicenseStateTypeSpecialty
3108195NDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3108195 ND Yes

Addresses

Primary practice location

3220 18TH St S Ste 1a
Fargo, ND 58104-6564

Mailing address

3220 18TH St S Ste 1a
Fargo, ND 58104-6564
Phone (701) 232-4177

Other providers in Fargo, ND

All providers in Fargo, ND · Professional Counselor in North Dakota

Sources for this page

Verify at the official NPI Registry.