person
Mrs. Crystal Ann Bostow Liddycoat, MA,LAC,LPC
Mental Health Counselor in Fargo, North Dakota
NPI 1356581227

Crystal Ann Bostow Liddycoat is a Mental Health Counselor based in Fargo, ND and is specialized in Mental Health. Crystal Ann Bostow Liddycoat practices in Fargo, ND and has the professional credentials of MA,LAC,LPC. The NPI Number for Crystal Ann Bostow Liddycoat is 1356581227 and holds a License No. 1596 (North Dakota).

The current practice location address for Crystal Ann Bostow Liddycoat is 2910 38Th Ave S, Fargo, ND and can be reached out via phone at 530-799-0499. You can also correspond with Crystal Ann Bostow Liddycoat through the mailing address at 2910 38TH AVE S, FARGO, ND - 58104-7061 (mailing address contact number: 530-799-0499).

Location: 2910 38Th Ave S, Fargo, ND, 58104-7061
person
Provider Profile Details
NPI Number
1356581227
Provider Name
Crystal Ann Bostow Liddycoat
Credential
MA,LAC,LPC
Provider Entity Type
Individual
Gender
Female
Address
2910 38Th Ave S, Fargo, ND, 58104-7061
Phone Number
530-799-0499
Fax Number
Provider Enumeration Date
03/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2910 38Th Ave S
City
State
Zip
58104-7061
Phone Number
530-799-0499
Fax Number
person
Provider Business Mailing Address Details
Address
2910 38Th Ave S
City
State
Zip
58104-7061
Phone Number
530-799-0499
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
621-12-15-08 (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.
1596 (North Dakota)
Definition
Definition to come...
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