Organization
DAKOTA THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDERSON (OFFICE MANAGER)
(701) 746-9341
Entity
Organization
Contact information
Practice address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
(701) 746-9341
Mailing address
600 DEMERS AVE STE 301, GRAND FORKS, ND 58201-4599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
266
ND
1041C0700X
Clinical Social Worker
995
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19143
—
ND
Enumeration date
01/01/2007
Last updated
07/11/2013
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