Individual
CARLEE P ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1078-7-15-20-486
ND
101YP2500X
Professional Counselor
1078-7-15-20A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1482711
—
ND
Enumeration date
08/03/2020
Last updated
09/04/2025
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