Individual
KAYCI TALLAKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7151 15TH ST S, FARGO, ND 58104-6613
(701) 364-2950
Mailing address
7151 15TH ST S, FARGO, ND 58104-6613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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