Individual provider · Type 1 NPI
Fallon Kirby Leiseth
Mental Health Counselor · Williston, ND
NPI number
1104467174
Active
Practice location
12 1st Ave NW
Williston, ND 58801
Mailing address
12 1st Ave W
Williston, ND 58801-6048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104467174
Fallon Kirby Leiseth's National Provider Identifier is 1104467174, issued on Oct 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Williston, ND. The record was last updated on Nov 12, 2024.