Individual
ADRIEN CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1701 S 12TH ST, BISMARCK, ND 58504-6644
(701) 751-0384
Mailing address
1701 S 12TH ST, BISMARCK, ND 58504-6644
(701) 751-0384
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2017-057
ND
106H00000X
Marriage & Family Therapist
Primary
3091
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447611306
—
MN
Enumeration date
03/18/2016
Last updated
02/04/2019
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