person
Eben Blake Danielson
Professional Counselor in Moorhead, Minnesota
NPI 1437662970

Eben Blake Danielson is a Professional Counselor based in Fargo, MN and is specialized in Professional. Eben Blake Danielson practices in Moorhead, MN. The NPI Number for Eben Blake Danielson is 1437662970 and holds a License No. CC01693 (Minnesota).

The current practice location address for Eben Blake Danielson is 815 37Th Ave S, Moorhead, MN and can be reached out via phone at 701-451-4811 and via fax at 651-925-0057.

Location: 815 37Th Ave S, Moorhead, MN, 58103-2311
person
Provider Profile Details
NPI Number
1437662970
Provider Name
Eben Blake Danielson
Credential
Provider Entity Type
Individual
Gender
Male
Address
815 37Th Ave S, Moorhead, MN, 58103-2311
Phone Number
701-451-4811
Fax Number
651-925-0057
Provider Enumeration Date
11/07/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 37Th Ave S
City
State
Zip
56560-5524
Phone Number
701-451-4811
Fax Number
651-925-0057
person
Provider Business Mailing Address Details
Address
815 37Th Ave S
City
State
Zip
56560-5524
Phone Number
701-451-4811
Fax Number
651-925-0057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC01693 (Minnesota)
Definition
Definition to come...
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