| Soul Survivor Counseling Services Pc | |
|
1110 College Dr Ste 206 Bismarck ND 58501-1207 | |
| (701) 258-2008 | |
| (701) 223-9114 |
| Full Name | Soul Survivor Counseling Services Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1110 College Dr Ste 206, Bismarck, North Dakota |
| Authorized Official Name and Position | Andrea Martin (PRESIDENT) |
| Authorized Official Contact | 7012582008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Survivor Counseling Services Pc 1110 College Dr Ste 206 Bismarck ND 58501-1207 Ph: (701) 258-2008 | Soul Survivor Counseling Services Pc 1110 College Dr Ste 206 Bismarck ND 58501-1207 Ph: (701) 258-2008 |
| NPI Number | 1831502152 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831502152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 260-1-1-93-5T (North Dakota) | Primary |
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