| Allied Counseling Pc | |
|
1351 Page Dr S Ste 201 Fargo ND 58103-3536 | |
| (701) 203-9013 | |
| Not Available |
| Full Name | Allied Counseling Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1351 Page Dr S Ste 201, Fargo, North Dakota |
| Authorized Official Name and Position | Tamara Madler (OWNER/THERAPIST) |
| Authorized Official Contact | 7012039013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Counseling Pc 1351 Page Dr S Ste 201 Fargo ND 58103-3536 Ph: (701) 203-9013 | Allied Counseling Pc 1351 Page Dr S Ste 201 Fargo ND 58103-3536 Ph: (701) 203-9013 |
| NPI Number | 1750917241 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 0042631020 |
|---|---|
| Medicare Enrollment ID | O20200529000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750917241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara M Madler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053474411 PECOS PAC ID: 0648162024 Enrollment ID: I20131114001530 |
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