Organization
30:17 COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GABRIEL PEREZ LPCC (PROFESSIONAL CLINICAL COUNSELOR)
(701) 541-0313
Entity
Organization
Contact information
Practice address
3003 32ND AVE S STE 210, FARGO, ND 58103-6163
(701) 541-0313
(701) 291-2021
Mailing address
3003 32ND AVE S STE 210, FARGO, ND 58103-6163
(701) 541-0313
(701) 291-2021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
666-9-1-10-243
ND
Other
Enumeration date
08/04/2015
Last updated
04/13/2026
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