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Organization

AUTONOMY COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHA MARIE WERNER LMFT (OWNER)
(360) 850-8588
Entity
Organization

Contact information

Practice address
800 HOLIDAY DR STE 170, MOORHEAD, MN 56560-4400
(218) 979-3828
(218) 231-8914
Mailing address
800 HOLIDAY DR STE 170, MOORHEAD, MN 56560-4400
(218) 979-3828

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician

Other

Enumeration date
02/06/2020
Last updated
03/17/2025
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