Individual
KARISA J MEYHUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1658
ND
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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