DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATHERINE EBACK

MEDICARE: KATHERINE EBACK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor993-3-1-19-496ND
2101YP2500XProfessional Counselor993-3-1-19-496ND

General Provider Information

NPI Number : 1417410275
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE EBACK
Provider Business Mailing Address
First Line : 5147 44TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-6069
Country : US
Telephone Number : 701-226-0848
Fax Number :
Provider Business Practice Location Address
First Line : 316 2ND AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-5218
Country : US
Telephone Number : 701-302-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 04/02/2026

Similar Medicare Providers

1770524613 — NORTHWEST BEHAVIORAL HEALTH CLINIC
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax: 701-774-4620
1952322372 — NORTHWEST BEHAVIORAL HEALTH CLINIC
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax: 701-774-4620
1295255933 — NORTHWEST BEHAVIORAL HEALTH CLINIC
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax: 701-774-4620
1922956630 — IVORY SOON
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax: 701-774-4620
1013620624 — KELVIN HAZANGWI
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax:
1245677277 — VIRGINIA A HASS LMSW
Practice Location Address:
316 2ND AVE W
WILLISTON, ND
58801-5218
Practice Phone: 701-774-4600
Practice Fax: 701-774-4620

Directions to “ KATHERINE EBACK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.