Individual
ANGELA S NIFFENEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW LAC LADC
Contact information
Practice address
1407 24TH AVE S, GRAND FORKS, ND 58201-6761
(701) 213-0831
Mailing address
1407 24TH AVE S, GRAND FORKS, ND 58201-6761
(701) 213-0831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1725
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
302260
MN
1041C0700X
Clinical Social Worker
18337
MN
1041C0700X
Clinical Social Worker
Primary
4456
ND
Other
Enumeration date
05/13/2008
Last updated
05/15/2025
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