Organization
INNER CANVAS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY STIELOW LPCC (PRESIDENT)
(701) 866-7960
Entity
Organization
Contact information
Practice address
112 UNIVERSITY DR N STE 300, FARGO, ND 58102-4661
(701) 866-7960
Mailing address
112 UNIVERSITY DR N STE 300, FARGO, ND 58102-4661
(701) 866-7960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ND
Enumeration date
04/25/2018
Last updated
04/26/2018
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