Individual
JANE MARGARET AUSTINSON BLILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
3220 18TH ST S STE 1A, FARGO, ND 58104-6564
(701) 232-4177
Mailing address
3220 18TH ST S STE 1A, FARGO, ND 58104-6564
(701) 232-4177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3108195
ND
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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