Individual
NELLIE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
304 7TH ST N, NEW TOWN, ND 58763-5876
(701) 627-4700
(701) 627-4105
Mailing address
404 FRONTAGE RD, NEW TOWN, ND 58763-9404
(701) 627-4700
(701) 627-4105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-1286
MT
101YM0800X
Mental Health Counselor
Primary
LPC-1045-12-1
ND
101YM0800X
Mental Health Counselor
LPC-178
SD
106H00000X
Marriage & Family Therapist
LMFT-84
MT
Other
Enumeration date
10/17/2007
Last updated
02/24/2022
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