Organization
CLARITY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN E TALLAKSON MS (PRESIDENT)
(701) 364-4040
Entity
Organization
Contact information
Practice address
808 3RD AVE S, STE 303, FARGO, ND 58103-1865
(701) 364-4040
Mailing address
808 3RD AVE S, STE 303, FARGO, ND 58103-1865
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4765102175
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598848897
NPI I
—
Enumeration date
03/08/2017
Last updated
03/08/2017
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