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Organization

MELISSA NYSTUEN AND JESSICA WATTERUD COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA WATTERUD (LPCC)
(701) 240-5498
Entity
Organization

Contact information

Practice address
17 MAIN ST S, CROSBY, ND 58730-6319
(701) 240-5498
Mailing address
PO BOX 136, 17 MAIN ST S, CROSBY, ND 58730-6319
(701) 240-5498

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
228
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455961
ND
Enumeration date
09/01/2016
Last updated
09/01/2016
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