Organization
FAMILY BEHAVIORAL HEALTH COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BANGURA (ADMINISTRATOR)
(623) 216-5759
Entity
Organization
Contact information
Practice address
302 US-75, MOORHEAD, MN 56560
(623) 216-5759
Mailing address
302 US-75, MOORHEAD, MN 56560
(623) 216-5759
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/28/2024
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