Individual
RACHEL A BLUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 451-4900
(701) 451-5056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
522-2-1-05
ND
101YP2500X
Professional Counselor
Primary
522-2-1-05-198
ND
Other
Enumeration date
12/30/2009
Last updated
02/17/2020
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