| Authentic Healing Counseling Services Pllc | |
|
1203 27th Ave W West Fargo ND 58078-8559 | |
| (701) 347-1603 | |
| Not Available |
| Full Name | Authentic Healing Counseling Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1203 27th Ave W, West Fargo, North Dakota |
| Authorized Official Name and Position | Abigail Anderson (OWNER/MEMBER) |
| Authorized Official Contact | 7013471603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Healing Counseling Services Pllc 19 8th Street South Pmb 535 Fargo ND 58103-1804 Ph: (701) 347-1603 | Authentic Healing Counseling Services Pllc 1203 27th Ave W West Fargo ND 58078-8559 Ph: (701) 347-1603 |
| NPI Number | 1861279812 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861279812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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