person
Misty Ibach, LAC,LPCC
Mental Health Counselor in Fargo, North Dakota
NPI 1184090433

Misty Ibach is a Mental Health Counselor based in Fargo, ND and is specialized in Mental Health. Misty Ibach practices in Fargo, ND and has the professional credentials of LAC,LPCC. The NPI Number for Misty Ibach is 1184090433 and holds a License No. 1783 (North Dakota).

The current practice location address for Misty Ibach is 1202 23Rd St S, Fargo, ND and can be reached out via phone at 701-293-5429 and via fax at 701-293-0736.

Location: 1202 23Rd St S, Fargo, ND, 58103-2951
person
Provider Profile Details
NPI Number
1184090433
Provider Name
Misty Ibach
Credential
LAC,LPCC
Provider Entity Type
Individual
Gender
Female
Address
1202 23Rd St S, Fargo, ND, 58103-2951
Phone Number
701-293-5429
Fax Number
701-293-0736
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1202 23Rd St S
City
State
Zip
58103-2951
Phone Number
701-293-5429
Fax Number
701-293-0736
person
Provider Business Mailing Address Details
Address
1202 23Rd St S
City
State
Zip
58103-2951
Phone Number
701-293-5429
Fax Number
701-293-0736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
775-3-1-14-430 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1783 (North Dakota)
Definition
Definition to come...
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