Individual
STEPHANIE KRISTJANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 CENTENNIAL DR STOP 7144, GRAND FORKS, ND 58202-7144
(800) 225-5863
Mailing address
264 CENTENNIAL DR STOP 7144, GRAND FORKS, ND 58202-7144
(800) 225-5863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
672-10-15-10
ND
Other
Enumeration date
04/21/2017
Last updated
01/25/2018
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