Individual
COURTNEY LEBEN-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4503 COLEMAN ST STE 203, BISMARCK, ND 58503-2017
(701) 412-2973
(701) 237-4407
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6096
ND
1041C0700X
Clinical Social Worker
Primary
—
—
174400000X
Specialist
BMS00089
ND
Other
Enumeration date
08/09/2022
Last updated
12/03/2025
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