Individual
KIMBERLY K BERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(710) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
520-12-15-04
ND
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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