Individual
LORI K BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4053
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
936-2-1-18A
ND
101YP2500X
Professional Counselor
Primary
936-2-1-18A
ND
Other
Enumeration date
07/24/2018
Last updated
12/13/2021
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