Individual provider · Type 1 NPI

Larry Jerome Watnemo, LPCC

Professional Counselor · Fargo, ND

NPI number 1063568301 Active

Practice location

1112 Nodak Dr S
Fargo, ND 58103-2366

Call (701) 232-6224 Map

Fax (701) 232-4687

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XND 392-12-1-97-83 (ND)

Professional Counselor: Definition to come...

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About NPI 1063568301

Larry Jerome Watnemo, LPCC's National Provider Identifier is 1063568301, issued on Jan 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fargo, ND. The record was last updated on May 20, 2020.