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Organization
ENDEAVOR CLINIC
Active
Organization
ENDEAVOR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMON K FAWSON LMFT (OWNER)
(801) 603-9880
Entity
Organization
Contact information
Practice address
1045 8TH AVE NW, BYRON, MN 55920-1590
(801) 603-9880
(507) 624-0097
Mailing address
1045 8TH AVE NW, BYRON, MN 55920-1590
(801) 603-9880
(507) 624-0097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
05/08/2024
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