Individual
AMANDA OCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 WESTRAC DR S, FARGO, ND 58103-2342
(701) 412-2973
(701) 237-4407
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1838
ND
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
00000
MN
Other
Enumeration date
10/04/2016
Last updated
09/09/2020
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