Individual
KATHERINE EBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 302-8888
Mailing address
5147 44TH ST S, FARGO, ND 58104-6069
(701) 226-0848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
993-3-1-19-496
ND
101YM0800X
Mental Health Counselor
Primary
993-3-1-19A
ND
101YP2500X
Professional Counselor
Primary
993-3-1-19-496
ND
Other
Enumeration date
04/09/2019
Last updated
04/02/2026
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