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Organization
N.I.A.M BRAIN INJURY SERVICES, LLP
Active
Organization
N.I.A.M BRAIN INJURY SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MARIE PRYOR LAC, LMFT (CO FOUNDER)
(760) 662-4710
Entity
Organization
Contact information
Practice address
1206 1ST AVE S, FARGO, ND 58103-1747
(760) 662-4710
Mailing address
PO BOX 11286, FARGO, ND 58106-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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