MYSTAL RAE AXTMAN

FARGO, ND
NPI1285775569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ND  472-3-1-02-164)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: ND  472-3-1-02-164)
Enumeration Date2007-02-09
Last Update Date2023-02-15
Business Address
MYSTAL RAE AXTMAN M.S., LPCC
4675 40TH AVE S STE 115
FARGO, ND 58104-4592
Phone number: 701-478-0906
Mailing Address
MYSTAL RAE AXTMAN M.S., LPCC
4675 40TH AVE S STE 115
FARGO, ND 58104-4592
Phone number: 701-541-1547