| 30:17 Counseling | |
|
3481 University Dr S Ste 104 Fargo ND 58104-6235 | |
| (701) 541-0313 | |
| (701) 291-2021 |
| Full Name | 30:17 Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3481 University Dr S Ste 104, Fargo, North Dakota |
| Authorized Official Name and Position | John Gabriel Perez (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Contact | 7015410313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 30:17 Counseling 3481 University Dr S Ste 104 Fargo ND 58104-6235 Ph: (701) 541-0313 | 30:17 Counseling 3481 University Dr S Ste 104 Fargo ND 58104-6235 Ph: (701) 541-0313 |
| NPI Number | 1225414956 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225414956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 666-9-1-10-243 (North Dakota) | Primary |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
Forest River Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S, Fargo, ND 58104 Phone: 701-793-5400 |