# SJM COUNSELING PLLC

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

## Provider details

- **NPI number:** 1639760937
- **Authorized official:** STEPHANIE MESTERY LICSW (PRESIDENT)
- **Authorized official phone:** (701) 205-5647

## Contact information

- **Practice address:** 6046 14TH ST S, FARGO, ND 58104-7340
- **Practice address phone:** (701) 404-0997
- **Practice address fax:** (701) 566-8876
- **Mailing address:** 6046 14TH ST S, FARGO, ND 58104-7340
- **Mailing address phone:** (701) 205-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 10/05/2021
