Individual
VICKI BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 7TH ST S STE 202, FARGO, ND 58103-1800
(701) 478-1221
Mailing address
17 7TH ST S STE 202, FARGO, ND 58103-1800
(507) 358-6157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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