Organization
DICKINSON FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M BAER (BUSINESS MANAGER)
(701) 483-9720
Entity
Organization
Contact information
Practice address
11 2ND AVE E, SUITE B, DICKINSON, ND 58601-5218
(701) 483-9720
(701) 483-9721
Mailing address
11 2ND AVE E, SUITE B, DICKINSON, ND 58601-5218
(701) 483-9720
(701) 483-9721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013945
—
ND
01
—
6783-001
BLUE CROSS BLUE SHIELD
ND
Enumeration date
02/27/2006
Last updated
12/16/2014
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