Fallon Kirby Leiseth, - Counselor in Williston, ND

Fallon Kirby Leiseth, is a Counselor - Mental Health based in Williston, North Dakota. Fallon Kirby Leiseth is licensed to practice in * (Not Available) (license number ) and her current practice location is 12 1st Ave Nw, Williston, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 609-5376.

NPI number for Fallon Kirby Leiseth is 1104467174 and her current mailing address is 12 1st Ave W, Williston, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104467174.

Contact Information

Fallon Kirby Leiseth,
12 1st Ave Nw,
Williston, ND 58801
(701) 609-5376
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameFallon Kirby Leiseth
GenderFemale
SpecialityCounselor - Mental Health
Location12 1st Ave Nw, Williston, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104467174
  • Provider Enumeration Date: 10/01/2019
  • Last Update Date: 11/12/2024

Medical Identifiers

Medical identifiers for Fallon Kirby Leiseth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104467174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fallon Kirby Leiseth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fallon Kirby Leiseth,
12 1st Ave W,
Williston, ND 58801-6048

Ph: () -
Fallon Kirby Leiseth,
12 1st Ave Nw,
Williston, ND 58801

Ph: (701) 609-5376

Reviews and Comments


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