| Innova Counseling Services Pllc | |
|
509 Oak Ridge Way E Apt 5 West Fargo ND 58078-2946 | |
| (701) 893-8068 | |
| Not Available |
| Full Name | Innova Counseling Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 509 Oak Ridge Way E Apt 5, West Fargo, North Dakota |
| Authorized Official Name and Position | Alissa Decoteau (OWNER) |
| Authorized Official Contact | 7018938068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innova Counseling Services Pllc 509 Oak Ridge Way E Apt 5 West Fargo ND 58078-2946 Ph: (701) 893-8068 | Innova Counseling Services Pllc 509 Oak Ridge Way E Apt 5 West Fargo ND 58078-2946 Ph: (701) 893-8068 |
| NPI Number | 1649049412 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649049412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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