| NPI | 1215093695 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BILLIE SUE ELLINGSON Marriage And Family Counselor 701-261-7428  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1073)  | 
| Enumeration Date | 2006-12-29 | 
| Last Update Date | 2020-08-22 |