Organization
THERAPEUTIC INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY LYNN CHILDRESS LPCC (OWNER)
(307) 371-4688
Entity
Organization
Contact information
Practice address
24 MAIN ST N STE A, MINOT, ND 58703-3104
(307) 371-4688
Mailing address
405 3RD AVE NE, (PO BOX 1384, MINOT ND 58702-1384), KENMARE, ND 58746-7425
(701) 818-4967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
02/11/2025
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