# WATTERUD COUNSELING AND CONSULTATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285183400
- **Authorized official:** JESSICA WATTERUD (LPCC)
- **Authorized official phone:** (701) 240-6971

## Contact information

- **Practice address:** 17 S MAIN ST, CROSBY, ND 58730
- **Practice address phone:** (701) 240-6971
- **Mailing address:** 17 S MAIN ST, PO BOX 136, CROSBY, ND 58730
- **Mailing address phone:** (701) 240-6971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 228 | ND | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 09/29/2016