Organization
COURTNEY'S THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JO BURGAD-WIFALL LCSW, LICSW, LMAC (BEHAVIORAL HEALTH THERAPIST)
(701) 321-2175
Entity
Organization
Contact information
Practice address
1324 SORRENTO CIR, BISMARCK, ND 58501-7776
(701) 321-2175
Mailing address
1324 SORRENTO CIR, BISMARCK, ND 58501-7776
(701) 321-2175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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