Groslie Counseling Services Pc | |
4160 24 Ave S Ste 102 Fargo ND 58104-9038 | |
(701) 941-0175 | |
(701) 941-3001 |
Full Name | Groslie Counseling Services Pc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 4160 24 Ave S, Fargo, North Dakota |
Authorized Official Name and Position | Dawn Groslie (OWNER) |
Authorized Official Contact | 7019410175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Groslie Counseling Services Pc 4160 24 Ave S Ste 102 Fargo ND 58104-9038 Ph: (701) 941-0175 | Groslie Counseling Services Pc 4160 24 Ave S Ste 102 Fargo ND 58104-9038 Ph: (701) 941-0175 |
NPI Number | 1639767791 |
---|---|
Provider Enumeration Date | 01/05/2021 |
Last Update Date | 03/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639767791 | NPI | - | NPPES |
1470330 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
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