| Beacon Behavioral Health Services | |
|
102 W Beaton Dr Suite 103 West Fargo ND 58078-2652 | |
| (701) 356-1276 | |
| (701) 356-4940 |
| Full Name | Beacon Behavioral Health Services |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 102 W Beaton Dr, West Fargo, North Dakota |
| Authorized Official Name and Position | Karla Buskirk (OFFICE MANAGER) |
| Authorized Official Contact | 7013561276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Health Services 102 W Beaton Dr Suite 103 West Fargo ND 58078-2652 Ph: (701) 356-1276 | Beacon Behavioral Health Services 102 W Beaton Dr Suite 103 West Fargo ND 58078-2652 Ph: (701) 356-1276 |
| NPI Number | 1912243148 |
|---|---|
| Provider Enumeration Date | 12/16/2012 |
| Last Update Date | 12/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912243148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 372 (North Dakota) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 421 (North Dakota) | Secondary |
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