Individual
AMANDA ELLERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1679 6TH AVE W, DICKINSON, ND 58601-2904
(701) 483-1000
Mailing address
980 5TH ST W, DICKINSON, ND 58601-4708
(701) 590-2837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1216-7-15-22A
ND
101YP2500X
Professional Counselor
Primary
1216-7-15-22-588
ND
Other
Enumeration date
04/11/2023
Last updated
08/14/2024
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