Individual
RALITSA WIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
500 UNIVERSITY AVE W, MINOT, ND 58707-7464
(701) 858-3371
Mailing address
500 UNIVERSITY AVE W, MINOT, ND 58707-0002
(701) 858-3371
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1383-8-1-24
ND
101YP2500X
Professional Counselor
2014000734
MO
101YP2500X
Professional Counselor
LPC-16589
AZ
Other
Enumeration date
03/13/2017
Last updated
08/13/2024
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