| Near And Far Counseling Pllc | |
|
6046 14th St S Fargo ND 58104-7340 | |
| (701) 404-0997 | |
| (701) 566-8876 |
| Full Name | Near And Far Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6046 14th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Toby Mcclary (OWNER/LCSW) |
| Authorized Official Contact | 7014040997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Near And Far Counseling Pllc 6046 14th St S Fargo ND 58104-7340 Ph: (701) 404-0997 | Near And Far Counseling Pllc 6046 14th St S Fargo ND 58104-7340 Ph: (701) 404-0997 |
| NPI Number | 1396425088 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 2567826027 |
|---|---|
| Medicare Enrollment ID | O20230915003293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396425088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Toby Mcclary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871190793 PECOS PAC ID: 5890167878 Enrollment ID: I20230221002671 |
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