Organization
SOUL SURVIVOR COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MARTIN LPC, LPCC (PRESIDENT)
(701) 258-2008
Entity
Organization
Contact information
Practice address
1110 COLLEGE DR STE 206, BISMARCK, ND 58501-1207
(701) 258-2008
(701) 223-9114
Mailing address
1110 COLLEGE DR STE 206, BISMARCK, ND 58501-1207
(701) 258-2008
(701) 223-9114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
260-1-1-93-5T
ND
Other
Enumeration date
06/04/2014
Last updated
10/18/2022
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