Individual
MATTHEW STEWART BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6301 19TH AVE NW, MINOT, ND 58703-8899
(701) 852-3628
(701) 852-1190
Mailing address
1237 W DIVIDE AVE, BISMARCK, ND 58501-1220
(701) 368-8418
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1039-11-19
ND
Other
Enumeration date
11/25/2019
Last updated
11/04/2021
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