Individual
CHASIDY FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 S WASHINGTON ST STE 33A, GRAND FORKS, ND 58201-6395
(701) 746-4584
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 451-4855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
683-3-15-11A
ND
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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