Individual
AMANDA WESTON CAILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1811 S WASHINGTON ST, GRAND FORKS, ND 58201-6337
(701) 757-3045
Mailing address
1811 S WASHINGTON ST, GRAND FORKS, ND 58201-6337
(701) 412-1253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1174-1-15-22-569
ND
Other
Enumeration date
02/25/2022
Last updated
08/15/2024
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