Organization
CREATIVE THERAPY PLLC
Active
Other names
Creative Therapy Addiction Program
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L EBERLE LPC (PRESIDENT/ MENTAL HEALTH COUNSELOR)
(701) 490-3281
Entity
Organization
Contact information
Practice address
150 2ND ST SW, #1, VALLEY CITY, ND 58072-3302
(701) 490-3281
(701) 490-3283
Mailing address
150 2ND ST SW, #1, VALLEY CITY, ND 58072-3302
(701) 490-3281
(701) 490-3283
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56667
—
ND
Enumeration date
09/11/2015
Last updated
09/11/2015
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