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Individual

RILEY GIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5354 42ND ST S STE B, FARGO, ND 58104-4032
(701) 501-8014
(701) 941-4504
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1374-7-1-24
ND
101YP2500X
Professional Counselor
Primary
1374-7-1-24
ND
101YP2500X
Professional Counselor
Primary
1374-7-1-24A
ND
101YP2500X
Professional Counselor

Other

Enumeration date
05/13/2024
Last updated
07/10/2026
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