Individual
LENA KHIBNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
3220 18TH ST S STE 4, FARGO, ND 58104-6564
(701) 248-9295
Mailing address
3220 18TH ST S STE 4, FARGO, ND 58104-6564
(701) 248-9295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1214-7-1-22A
ND
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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