| Ronin Counseling | |
|
3285 Fiechtner Dr S Ste B Fargo ND 58103-2490 | |
| (701) 630-8813 | |
| (701) 425-0448 |
| Full Name | Ronin Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3285 Fiechtner Dr S Ste B, Fargo, North Dakota |
| Authorized Official Name and Position | Paul Afanasi Polanski (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7016308813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronin Counseling 3217 Fiechtner Dr S Ste C Fargo ND 58103-8735 Ph: (701) 630-8813 | Ronin Counseling 3285 Fiechtner Dr S Ste B Fargo ND 58103-2490 Ph: (701) 630-8813 |
| NPI Number | 1245807452 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 2567868862 |
|---|---|
| Medicare Enrollment ID | O20210913001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245807452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul Afanasi Polanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376151597 PECOS PAC ID: 5294131595 Enrollment ID: I20210914001247 |
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