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Individual

KARA BLISS WOODBURY FLADLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 461-5600
(701) 461-5649
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 461-5600
(701) 461-5649

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
418-4-1-99-133
ND
101YP2500X
Professional Counselor
4184199133
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
924676200
MN
Enumeration date
07/25/2006
Last updated
10/25/2018
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