Individual
BRIAN D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4342 15TH AVE S STE 103, FARGO, ND 58103-1125
(701) 532-0991
Mailing address
4342 15TH AVE S STE 103, FARGO, ND 58103-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6713
ND
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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