Individual
AMY HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
368 E. MAIN ST STE 1, #1328, NEW TOWN, ND 58763-1328
(701) 751-1545
(701) 751-1365
Mailing address
PO BOX 1328, NEW TOWN, ND 58763-1328
(701) 751-1545
(701) 751-1635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
890-10-15-16-361
ND
101YM0800X
Mental Health Counselor
890-10-15-16A
ND
Other
Enumeration date
10/17/2016
Last updated
10/24/2023
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