Organization
PHOENIX COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA M WICHMANN MA, LPCC, LADC, LAC (CO-OWNER)
(701) 367-1079
Entity
Organization
Contact information
Practice address
725 CENTER AVE STE 3, MOORHEAD, MN 56560-1972
(218) 366-6162
Mailing address
725 CENTER AVE STE 3, MOORHEAD, MN 56560-1972
(218) 366-6162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
01/29/2025
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