Individual
TENA LORAYN PRESTIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 4TH ST E STE 102, WEST FARGO, ND 58078-3082
(701) 501-7449
(701) 425-0322
Mailing address
3220 4TH ST E STE 102, WEST FARGO, ND 58078-3082
(701) 501-7449
(701) 425-0322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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