Individual
DEBRA K DEMINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3105 ELM ST N, FARGO, ND 58102-1740
(701) 293-6762
Mailing address
3105 ELM ST N, FARGO, ND 58102-1740
(701) 293-6762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
271903
MN
101YP2500X
Professional Counselor
4777102195
ND
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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