person
Mary Lou Kley
Counselor in Fargo, North Dakota
NPI 1447395629

Mary Lou Kley is a Counselor based in Moorhead, ND. Mary Lou Kley practices in Fargo, ND. The NPI Number for Mary Lou Kley is 1447395629 and holds a License No. 2841 (North Dakota).

The current practice location address for Mary Lou Kley is 1201 25Th St S, Fargo, ND and can be reached out via phone at 701-451-4900 and via fax at 701-451-5057. You can also correspond with Mary Lou Kley through the mailing address at 4068 40TH AVE S, MOORHEAD, MN - 56560-7504 (mailing address contact number: 701-451-4900).

Location: 1201 25Th St S, Fargo, ND, 56560-7504
person
Provider Profile Details
NPI Number
1447395629
Provider Name
Mary Lou Kley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 25Th St S, Fargo, ND, 56560-7504
Phone Number
701-451-4900
Fax Number
701-451-5057
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067H4BR 01 MN BCBSMN
62-67227 01 ND MEDICA UBH
HP59873 01 ND HEALTH PARTNERS
26563 01 ND BCBSND
19162 05 ND
158498700 05 MN
58103-A009 01 ND TRIWEST
institution
Provider Business Practice Location Address Details
Address
1201 25Th St S
City
State
Zip
58103-2311
Phone Number
701-451-4900
Fax Number
701-451-5057
person
Provider Business Mailing Address Details
Address
1201 25Th St S
City
State
Zip
58103-2311
Phone Number
701-451-4900
Fax Number
701-451-5057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
2841 (North Dakota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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