| Northridge Counseling Centre Inc | |
|
215 N 3rd Street Suite 202a Grand Forks ND 58203 | |
| (701) 772-7203 | |
| (701) 772-7204 |
| Full Name | Northridge Counseling Centre Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 215 N 3rd Street, Grand Forks, North Dakota |
| Authorized Official Name and Position | John Patrick Hennessy (OWNER COUNSELOR PROGRAM DIRECTOR) |
| Authorized Official Contact | 7017727203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northridge Counseling Centre Inc 215 N 3rd Street Suite 202a Grand Forks ND 58203 Ph: (701) 772-7203 | Northridge Counseling Centre Inc 215 N 3rd Street Suite 202a Grand Forks ND 58203 Ph: (701) 772-7203 |
| NPI Number | 1912063587 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912063587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1054 (North Dakota) | Primary |
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