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Lisa Marie Holter, LPCC
Professional Counselor in Fargo, North Dakota
NPI 1366860520

Lisa Marie Holter is a Professional Counselor based in Fargo, ND and is specialized in Professional. Lisa Marie Holter practices in Fargo, ND and has the professional credentials of LPCC. The NPI Number for Lisa Marie Holter is 1366860520 and holds a License No. 721-7-15-12A (North Dakota).

The current practice location address for Lisa Marie Holter is 3911 20Th Ave S, Fargo, ND and can be reached out via phone at 701-271-1613 and via fax at 701-235-7359.

Location: 3911 20Th Ave S, Fargo, ND, 58103-4705
person
Provider Profile Details
NPI Number
1366860520
Provider Name
Lisa Marie Holter
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3911 20Th Ave S, Fargo, ND, 58103-4705
Phone Number
701-271-1613
Fax Number
701-235-7359
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78033 05 ND
1457643 01 ND ND MEDICAID
institution
Provider Business Practice Location Address Details
Address
3911 20Th Ave S
City
State
Zip
58103-4705
Phone Number
701-271-1613
Fax Number
701-235-7359
person
Provider Business Mailing Address Details
Address
3911 20Th Ave S
City
State
Zip
58103-4705
Phone Number
701-271-1613
Fax Number
701-235-7359
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
721-7-15-12A (North Dakota)
Definition
Definition to come...
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