Organization
WAVES OF CHANGE PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BAHR (OWNER)
(701) 561-1177
Entity
Organization
Contact information
Practice address
1128 WESTRAC DR S STE A, FARGO, ND 58103-8729
(701) 561-1177
Mailing address
1128 WESTRAC DR S STE A, FARGO, ND 58103-8729
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
02/15/2021
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