Whalio Doctors

NPI 1497293799

Willow Tree Counseling, PLLC

Organisation Community/Behavioral Health Agency West Fargo, ND

Practice location

Address
102 W Beaton Dr STE 103, West Fargo, ND 58078-2653
Phone
(701) 730-8313
Fax
(701) 552-7975

Authorised official

Name
Erin Marie Grahn
Title
Owner
Phone
(701) 730-8313

Registered specialties (4)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 699-10-1-11-238 (ND)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 1650 (ND)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1497293799
Entity type
Organization
NPI issued
7 Feb 2017
Record last updated
12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.