Individual
BAILLEY G FAUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAPC
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1380-8-1-24A
ND
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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