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Organization

COUNSELING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKIE A WILHELM MS LPCC (COUNSELOR MS LPCC)
(701) 232-2791
Entity
Organization

Contact information

Practice address
1111 WESTRAC DR, SUITE 204, FARGO, ND 58103-2384
(701) 232-2791
(701) 364-4090
Mailing address
1111 WESTRAC DR, SUITE 204, FARGO, ND 58103-2384
(701) 232-2791
(701) 364-4090

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
36511196111
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08N06C0
BCBS OF MN
MN
01
WIL26947
BCBS OF ND
ND
Enumeration date
02/21/2007
Last updated
01/24/2008
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