Individual
MS. MARY REITEN EYLANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
600 DEMERS AVE, US BANK BUILDING - SUITE 404, GRAND FORKS, ND 58201-4599
(701) 746-4400
(701) 746-6034
Mailing address
600 DEMERS AVE, US BANK BUILDING - SUITE 404, GRAND FORKS, ND 58201-4599
(701) 746-4400
(701) 746-6034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
505-3-15-04-166
ND
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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