Individual
MR. CRIS RAY CIMBURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 446-6632
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 446-6632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
647-12-1-09
ND
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584525400
—
MN
Enumeration date
09/06/2006
Last updated
12/14/2016
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