Individual
REBECCA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 43RD ST S STE 105, FARGO, ND 58103-3579
(218) 287-4338
Mailing address
1655 43RD ST S STE 205, FARGO, ND 58103-3583
(701) 793-0798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
04/18/2025
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