Full Name | Peak Pathways Pc |
---|---|
Speciality | Counselor - Professional |
Location | 3523 45th St S, Fargo, North Dakota |
Authorized Official Name and Position | Vicki Susan Burgess (PRIMARY) |
Authorized Official Contact | 7019410175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peak Pathways Pc 4160 24th Ave S Ste 102 Fargo ND 58104-9038 Ph: (701) 941-0175 | Peak Pathways Pc 3523 45th St S Fargo ND 58104-8962 Ph: (701) 941-0175 |
NPI Number | 1144094459 |
---|---|
Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/08/2023 |
Certification Date | 11/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144094459 | NPI | - | NPPES |
113561521545 | Other | ND | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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