# EDDIE BURL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eddie Burl LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336613728
- **Authorized official:** EDDIE E BURL LPC (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (701) 936-1342

## Contact information

- **Practice address:** 1351 PAGE DR S STE 203, FARGO, ND 58103-3536
- **Practice address phone:** (701) 936-1342
- **Practice address fax:** (701) 639-7207
- **Mailing address:** 3707 BELL BLVD E, WEST FARGO, ND 58078-8503
- **Mailing address phone:** (701) 936-1342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 01/18/2019