Individual
CAMIE LYNN PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7876
Mailing address
2409 W COUNTRY CLUB DR S, FARGO, ND 58103-5738
(701) 212-6968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1459
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26489
BLUE CROSS BLUE SHIELD
ND
Enumeration date
12/19/2006
Last updated
02/07/2014
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