Individual provider · Type 1 NPI

Eben Blake Danielson

Professional Counselor · Moorhead, MN

NPI number 1437662970 Active

Practice location

815 37th Ave S
Moorhead, MN 56560-5524

Call (701) 451-4811 Map

Fax (651) 925-0057

Mailing address

1201 25th St S
Fargo, ND 58103-2311

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC01693 (MN)
Professional Counselor 101YP2500X01905 (MN)

Professional Counselor: Definition to come...

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About NPI 1437662970

Eben Blake Danielson's National Provider Identifier is 1437662970, issued on Nov 7, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moorhead, MN. The record was last updated on Feb 25, 2020.