Organization
EXPERIENCE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RAE DECKER LAC (CEO)
(701) 639-6561
Entity
Organization
Contact information
Practice address
3523 45TH ST S, FARGO, ND 58104-8962
(701) 639-6561
Mailing address
3523 45TH ST S, FARGO, ND 58104-8962
(701) 639-6561
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1633
ND
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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