person
Courtenay Miedema, LPC
Professional Counselor in Moorhead, Minnesota
NPI 1174303853

Courtenay Miedema is a Professional Counselor based in Fargo, MN and is specialized in Professional. Courtenay Miedema practices in Moorhead, MN and has the professional credentials of LPC. The NPI Number for Courtenay Miedema is 1174303853 and holds a License No. 2867 (Minnesota).

The current practice location address for Courtenay Miedema is 815 37Th Ave S, Moorhead, MN and can be reached out via phone at 701-451-4811 and via fax at 651-925-0057.

Location: 815 37Th Ave S, Moorhead, MN, 58106-9859
person
Provider Profile Details
NPI Number
1174303853
Provider Name
Courtenay Miedema
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
815 37Th Ave S, Moorhead, MN, 58106-9859
Phone Number
701-451-4811
Fax Number
651-925-0057
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 37Th Ave S
City
State
Zip
56560-5524
Phone Number
701-451-4811
Fax Number
651-925-0057
person
Provider Business Mailing Address Details
Address
815 37Th Ave S
City
State
Zip
56560-5524
Phone Number
701-451-4811
Fax Number
651-925-0057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2867 (Minnesota)
Definition
Definition to come...
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