Organization
NORTHRIDGE COUNSELING CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PATRICK HENNESSY LAC NCAC II (OWNER COUNSELOR PROGRAM DIRECTOR)
(701) 772-7203
Entity
Organization
Contact information
Practice address
215 N 3RD STREET, SUITE 202A, GRAND FORKS, ND 58203
(701) 772-7203
(701) 772-7204
Mailing address
215 N 3RD STREET, SUITE 202A, GRAND FORKS, ND 58203
(701) 772-7203
(701) 772-7204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1054
ND
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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