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Individual

THOMAS WILLIAM SOLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, LAC

Contact information

Practice address
1615 17TH AVE S, GRAND FORKS, ND 58201-5372
(701) 795-8550
Mailing address
1615 17TH AVE S, GRAND FORKS, ND 58201-5372
(701) 795-8550

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1662
ND
101YP2500X
Professional Counselor
Primary
693-7-15-277
ND
101YP2500X
Professional Counselor
CC03258
MN

Other

Enumeration date
12/01/2019
Last updated
01/02/2026
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