Individual
JANET AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1726 S WASHINGTON ST STE 33A, GRAND FORKS, ND 58201-6395
(701) 746-4584
(651) 925-0057
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC00738
MN
101YP2500X
Professional Counselor
Primary
866-3-1-16-279
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-0851371
FEDRAL TAX ID
MN
Enumeration date
03/10/2014
Last updated
02/17/2020
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