Mystal Rae Axtman in Fargo - Mental Health
Mystal Rae Axtman - NPI 1285775569
Mystal Rae Axtman is a Mental Health in Fargo, North Dakota. Mystal Rae Axtman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mystal Rae Axtman is 1285775569. The last update date is 2023-02-15.
Mystal Rae Axtman's current location address is 4675 40th Ave S Ste 115, Fargo, North Dakota. You can contact this provider via phone number 7015411547. The mailing address for Mystal Rae Axtman is 4675 40th Ave S Ste 115, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mystal Rae Axtman |
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Address | 4675 40th Ave S Ste 115, Fargo, North Dakota |
Phone Number | 7015411547 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.S., LPCC |
NPI Number Detail
NPI Number | 1285775569 |
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Provider Enumeration Date | 2007-02-09 |
Last Updated Date | 2023-02-15 |
Provider Mailing Address Detail
Address | 4675 40th Ave S Ste 115 |
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City | Fargo |
State | North Dakota (ND) |
Post Code | 581044592 |
Phone Number | 7015411547 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 472-3-1-02-1 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Mystal Rae Axtman by the Centers for Medicare & Medicaid Services?
The Mystal Rae Axtman has been assigned the NPI (National Provider Identifier) 1285775569. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mystal Rae Axtman located?
The Mystal Rae Axtman is located at 4675 40Th Ave S Ste 115, Fargo, ND 581044592.
What is Mystal Rae Axtman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mystal Rae Axtman is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Mystal Rae Axtman receive its 1285775569 assignment from the Centers for Medicare & Medicaid Services?
The Mystal Rae Axtman was assigned its 1285775569 by the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information pertaining to Mystal Rae Axtman most recently updated or revised?
The details related to Mystal Rae Axtman, including its address, specialty, and other relevant information, were last updated or revised on 2023-02-15.