Individual
MR. JOHN GERARD ALTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED LPCC
Contact information
Practice address
1351 PAGE DR S STE 100, FARGO, ND 58103-3536
(701) 412-7345
(701) 478-4044
Mailing address
1351 PAGE DR S STE 100, FARGO, ND 58103-3536
(701) 412-7345
(701) 478-4044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
347319655
ND
101YP1600X
Pastoral Counselor
347319655
ND
Other
Enumeration date
09/07/2006
Last updated
11/14/2022
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