Organization
INNOVA COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA DECOTEAU (OWNER)
(701) 893-8068
Entity
Organization
Contact information
Practice address
509 OAK RIDGE WAY E APT 5, WEST FARGO, ND 58078-2946
(701) 893-8068
Mailing address
509 OAK RIDGE WAY E APT 5, WEST FARGO, ND 58078-2946
(701) 893-8068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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