Organization
N.I.A.M BRAIN INJURY SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE MARIE PRYOR LAC, LMFT (CO FOUNDER)
(760) 662-4710
Entity
Organization
Contact information
Practice address
1206 1ST AVE S, FARGO, ND 58103-1747
(760) 662-4710
Mailing address
PO BOX 11286, FARGO, ND 58106-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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