Organization
CREATIVE SPIRIT COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY M JONES LCSW (MANAGING MEMBER)
(701) 715-8567
Entity
Organization
Contact information
Practice address
4675 40TH AVENUE SOUTH, SUITE 120, FARGO, ND 58104
(701) 715-8567
(701) 540-0098
Mailing address
4675 40TH AVENUE SOUTH, SUITE 120, FARGO, ND 58104
(701) 715-8567
(701) 540-0098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478422
—
ND
Enumeration date
09/11/2019
Last updated
07/25/2024
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