Individual
KEALIE MORGAN FITZSIMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
3210 18TH ST S, STE B, FARGO, ND 58104
(701) 205-7771
(701) 205-3798
Mailing address
3210 18TH ST S, STE B, FARGO, ND 58104
(701) 205-7771
(701) 205-3798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1288-6-1-23A
ND
Other
Enumeration date
06/15/2023
Last updated
09/09/2024
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