Individual
SPENCER NEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
3220 4TH ST E STE 102, WEST FARGO, ND 58078-3082
(701) 501-7449
(701) 425-0322
Mailing address
2900 34TH AVE S APT 1156, FARGO, ND 58104-5195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1379-7-15-24A
ND
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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