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Ms. Melody R Peterson, LAC
Case Manager/Care Coordinator in Fargo, North Dakota
NPI 1255348504

Melody R Peterson is a Case Manager/Care Coordinator based in Fargo, ND. Melody R Peterson practices in Fargo, ND and has the professional credentials of LAC. The NPI Number for Melody R Peterson is 1255348504 and holds a License No. 1269 (North Dakota).

The current practice location address for Melody R Peterson is 2624 9Th Ave S, Fargo, ND and can be reached out via phone at 701-298-4500 and via fax at 701-298-4400.

Location: 2624 9Th Ave S, Fargo, ND, 58103-2350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255348504
Provider Name
Melody R Peterson
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
2624 9Th Ave S, Fargo, ND, 58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009179 01 NC BSBS OF ND PIN
institution
Provider Business Practice Location Address Details
Address
2624 9Th Ave S
City
Fargo
State
North Dakota
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider Business Mailing Address Details
Address
2624 9Th Ave S
City
Fargo
State
North Dakota
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
1269 (North Dakota)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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