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Mystal Rae Axtman, MS,LPCC
Professional Counselor in Fargo, North Dakota
NPI 1285775569

Mystal Rae Axtman is a Professional Counselor based in Fargo, ND and is specialized in Professional. Mystal Rae Axtman practices in Fargo, ND and has the professional credentials of MS,LPCC. The NPI Number for Mystal Rae Axtman is 1285775569 and holds a License No. 472-3-1-02-164 (North Dakota).

The current practice location address for Mystal Rae Axtman is 4675 40Th Ave S Ste 115, Fargo, ND and can be reached out via phone at 701-478-0906. You can also correspond with Mystal Rae Axtman through the mailing address at 4675 40TH AVE S STE 115, FARGO, ND - 58104-4592 (mailing address contact number: 701-541-1547).

Location: 4675 40Th Ave S Ste 115, Fargo, ND, 58104-4592
person
Provider Profile Details
NPI Number
1285775569
Provider Name
Mystal Rae Axtman
Credential
MS,LPCC
Provider Entity Type
Individual
Gender
Female
Address
4675 40Th Ave S Ste 115, Fargo, ND, 58104-4592
Phone Number
701-478-0906
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4675 40Th Ave S Ste 115
City
State
Zip
58104-4592
Phone Number
701-478-0906
Fax Number
person
Provider Business Mailing Address Details
Address
4675 40Th Ave S Ste 115
City
State
Zip
58104-4592
Phone Number
701-478-0906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
472-3-1-02-164 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
472-3-1-02-164 (North Dakota)
Definition
Definition to come...
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