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Organization
BEACON BEHAVIORAL HEALTH SERVICES
Active
Organization
BEACON BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA BUSKIRK (OFFICE MANAGER)
(701) 356-1276
Entity
Organization
Contact information
Practice address
102 W BEATON DR, SUITE 103, WEST FARGO, ND 58078-2652
(701) 356-1276
(701) 356-4940
Mailing address
102 W BEATON DR, SUITE 103, WEST FARGO, ND 58078-2652
(701) 356-1276
(701) 356-4940
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
372
ND
103TC2200X
Clinical Child & Adolescent Psychologist
421
ND
Other
Enumeration date
12/16/2012
Last updated
12/16/2012
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