| Dakota Family Services | |
|
300 45th St Sw Suite 311 Fargo ND 58103-1189 | |
| (701) 837-6508 | |
| (701) 858-1839 |
| Full Name | Dakota Family Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 45th St Sw, Fargo, North Dakota |
| Authorized Official Name and Position | Connie F Irey (OFFICE MANAGER) |
| Authorized Official Contact | 7018376508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Family Services Po Box 1148 Minot ND 58702-1148 Ph: (701) 837-6508 | Dakota Family Services 300 45th St Sw Suite 311 Fargo ND 58103-1189 Ph: (701) 837-6508 |
| NPI Number | 1902940182 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902940182 | NPI | - | NPPES |
| 13661 | Medicaid | ND | |
| 06641001 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| 06641002 | Other | ND | BCBS OF ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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