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25 1st Ave W Ste 160 Dickinson ND 58601-5157 | |
| (701) 787-1100 | |
| (701) 787-1600 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 25 1st Ave W Ste 160, Dickinson, North Dakota |
| Authorized Official Name and Position | Tess R Johnson (OWNER OF PRIVATE PRACTICE/THERAPIST) |
| Authorized Official Contact | 7015210503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
579 River Drive Dickinson ND 58601 Ph: (701) 521-0503 | 25 1st Ave W Ste 160 Dickinson ND 58601-5157 Ph: (701) 787-1100 |
| NPI Number | 1922626456 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922626456 | NPI | - | NPPES |
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