Individual
ERIC E LETVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4200
(218) 382-1267
Mailing address
3700 CHINOOK DRIVE SOUTH, FARGO, ND 58104
(701) 371-9138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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