Individual
MR. TIRAM GAMLIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00053
MN
101YP2500X
Professional Counselor
Primary
168-11-15-01-148
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24542
ND BC/BS
ND
01
—
319K1GA
MN BC/BS
MN
05
—
897903100
—
MN
Enumeration date
04/21/2006
Last updated
09/06/2018
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