Organization
WATTERUD COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WATTERUD (LPCC)
(701) 240-6971
Entity
Organization
Contact information
Practice address
17 S MAIN ST, CROSBY, ND 58730
(701) 240-6971
Mailing address
17 S MAIN ST, PO BOX 136, CROSBY, ND 58730
(701) 240-6971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
228
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455961
—
ND
Enumeration date
09/29/2016
Last updated
09/29/2016
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