| Waves Of Change Psychotherapy Pllc | |
|
1128 Westrac Dr S Ste A Fargo ND 58103-8729 | |
| (701) 561-1177 | |
| Not Available |
| Full Name | Waves Of Change Psychotherapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1128 Westrac Dr S Ste A, Fargo, North Dakota |
| Authorized Official Name and Position | Amanda Bahr (OWNER) |
| Authorized Official Contact | 7015611177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Change Psychotherapy Pllc 1128 Westrac Dr S Ste A Fargo ND 58103-8729 Ph: () - | Waves Of Change Psychotherapy Pllc 1128 Westrac Dr S Ste A Fargo ND 58103-8729 Ph: (701) 561-1177 |
| NPI Number | 1639768245 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 02/15/2021 |
| Certification Date | 02/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639768245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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