MRS. CRYSTAL ANN BOSTOW LIDDYCOAT MA LAC LPC NPI 1356581227

NPI Information

NPI: 1356581227
Provider Name: MRS. CRYSTAL ANN BOSTOW LIDDYCOAT, MA, LAC, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2910 38TH AVE S
FARGO, ND
ZIP 58104
Phone: (530) 799-0499
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MRS. Crystal Ann Bostow Liddycoat, MA, LAC, LPC is a mental health counselor in Fargo, ND. MRS. Crystal Ann Bostow Liddycoat, MA, LAC, LPC NPI is 1356581227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2910 38TH AVE S
FARGO, ND
ZIP 58104-061
Phone: (530) 799-0499

The enumeration date for this NPI number is 3/4/2009 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1596	NORTH DAKOTA	No
2	101YM0800X	Counselor	Mental Health	621-12-15-08	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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