Individual
JESSICA DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 404-7525
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
998-3-15-19
ND
Other
Enumeration date
01/08/2015
Last updated
03/17/2020
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