Individual
MR. ALLEN JAMES IRISH-ZABOLOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LPCC
Contact information
Practice address
4733 AMBER VALLEY PKWY S, FARGO, ND 58104-8647
(701) 220-9512
Mailing address
4733 AMBER VALLEY PKWY S STE W, FARGO, ND 58104-9073
(701) 401-6117
(701) 540-0059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
863-1-15-16
ND
101YP2500X
Professional Counselor
Primary
863-1-15-16
ND
Other
Enumeration date
09/11/2014
Last updated
11/17/2022
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