Individual
ELLEN GUGISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(701) 451-5057
Mailing address
2634 SUNGATE DR S, FARGO, ND 58103-3555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17979
BCBSND
MN
01
—
2040318
CIGNA
ND
01
—
2352431
AMERICA'S PPO
MN
01
—
309S8GU
BCBSMN
MN
01
—
58103-A004
TRIWEST
ND
01
—
62-87355
MEDICA UBH
ND
01
—
9397797
PHCS
ND
01
—
HP70690
HEALTH PARTNERS
ND
Enumeration date
02/21/2007
Last updated
07/08/2007
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