Mystal Rae Axtman is a Professional in Fargo, North Dakota. Mystal Rae Axtman practices all healthcare services and medical treatments related to Professional. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2023-02-15 |
Provider Mailing Address Detail
| Address | 4675 40th Ave S Ste 115 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581044592 |
| Phone Number | 7015411547 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 472-3-1-02-1 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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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 Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
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.