Organization
INTEGRATED COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL COLLETTE FOLLINGSTAD PSY.D., L.P. (LICENSED PSYCHOLOGIST, OWNER)
(218) 731-2320
Entity
Organization
Contact information
Practice address
1132 28TH AVE S, SUITE 102, MOORHEAD, MN 56560-4420
(218) 731-2320
(218) 867-3712
Mailing address
1132 28TH AVE S, SUITE 102, MOORHEAD, MN 56560-4420
(218) 731-2320
(218) 867-3712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP4052
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
668524200
—
MN
Enumeration date
08/13/2013
Last updated
08/13/2013
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