Individual
KATRINA KANWISCHER-JAGIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 CINNAMON RIDGE PL, WEST FARGO, ND 58078-8190
(218) 303-5829
Mailing address
835 CINNAMON RIDGE PL, WEST FARGO, ND 58078-8190
(218) 303-5829
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2016-036A
ND
106H00000X
Marriage & Family Therapist
Primary
2019-071
ND
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
—
—
Other
Enumeration date
11/29/2016
Last updated
01/23/2025
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