Ets Counseling Pllc | |
1351 Page Dr S Ste 212 Fargo ND 58103-3536 | |
(701) 793-2812 | |
(701) 343-1319 |
Full Name | Ets Counseling Pllc |
---|---|
Speciality | Social Worker |
Location | 1351 Page Dr S Ste 212, Fargo, North Dakota |
Authorized Official Name and Position | Lisa Rorvig (OWNER) |
Authorized Official Contact | 2183299502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ets Counseling Pllc 1351 Page Dr S Ste 212 Fargo ND 58103-3536 Ph: (701) 793-2812 | Ets Counseling Pllc 1351 Page Dr S Ste 212 Fargo ND 58103-3536 Ph: (701) 793-2812 |
NPI Number | 1932836293 |
---|---|
Provider Enumeration Date | 08/05/2022 |
Last Update Date | 06/12/2023 |
Certification Date | 06/12/2023 |
Medicare PECOS PAC ID | 9234596057 |
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Medicare Enrollment ID | O20230608002435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932836293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lisa K Rorvig |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821277328 PECOS PAC ID: 2062653256 Enrollment ID: I20130731000386 |
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