Organization
FOREST RIVER COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA PYTLIK MA, LMAC, LPCC (PRESIDENT)
(701) 793-5400
Entity
Organization
Contact information
Practice address
3523 45TH ST S, FARGO, ND 58104-8962
(701) 793-5400
Mailing address
3523 45TH ST S, FARGO, ND 58104-8962
(701) 793-5400
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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