| Authentically You Therapy | |
|
3212 14th Ave S Ste 7 Fargo ND 58103-6306 | |
| (701) 318-0895 | |
| Not Available |
| Full Name | Authentically You Therapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3212 14th Ave S Ste 7, Fargo, North Dakota |
| Authorized Official Name and Position | Gabrielle Elise Hagen (THERAPIST) |
| Authorized Official Contact | 7013180895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentically You Therapy 4707 46th St S Apt 315 Fargo ND 58104-9014 Ph: (701) 318-0895 | Authentically You Therapy 3212 14th Ave S Ste 7 Fargo ND 58103-6306 Ph: (701) 318-0895 |
| NPI Number | 1508686353 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508686353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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