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Organization
SOUL SURVIVOR COUNSELING SERVICES PC
Active
Organization
SOUL SURVIVOR COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MARTIN LPC, LPCC (PRESIDENT)
(701) 258-2008
Entity
Organization
Contact information
Practice address
1110 COLLEGE DR STE 206, BISMARCK, ND 58501-1207
(701) 258-2008
(701) 223-9114
Mailing address
1110 COLLEGE DR STE 206, BISMARCK, ND 58501-1207
(701) 258-2008
(701) 223-9114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
260-1-1-93-5T
ND
Other
Enumeration date
06/04/2014
Last updated
10/18/2022
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