Individual
ALYSSA EICHHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 26TH AVE S STE 100, FARGO, ND 58104-7919
(701) 639-2937
Mailing address
3901 30TH AVE S APT 302, FARGO, ND 58104-7818
(701) 430-3766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1370-7-1-24A
ND
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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