Organization
EVOLVE THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI EKBLAD LPCC-S RPT (OWNER)
(701) 866-3380
Entity
Organization
Contact information
Practice address
12 1ST AVE W, WILLISTON, ND 58801-6048
(701) 609-5376
(866) 635-1623
Mailing address
12 1ST AVE W, WILLISTON, ND 58801-6048
(701) 609-5376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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