Individual
CANDICE A BLUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1720 UNIVERSITY DR, FARGO, ND 58103-4904
(701) 234-7400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
515-8-1-04-158
ND
101YP2500X
Professional Counselor
Primary
LPCC 5158104158
ND
Other
Enumeration date
10/21/2006
Last updated
02/13/2020
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