Individual
MICAH GRACE CURTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
919-9-1-17-356
ND
101YP2500X
Professional Counselor
919-9-1-17A
ND
Other
Enumeration date
10/18/2017
Last updated
02/25/2020
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