Organization
EMPOWERED LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARONDA SUE ROBERTSON LPCC (LICENSED PROFESSIONAL COUNSELOR)
(701) 306-8369
Entity
Organization
Contact information
Practice address
4357 13TH AVENUE S SUITE 104, FARGO, ND 58103
(701) 306-8369
Mailing address
1026 31ST AVE W, WEST FARGO, ND 58078-8245
(701) 361-4093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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