Healthcare Provider Details

I. General information

NPI: 1386562189
Provider Name (Legal Business Name): TJC COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 SETER PKWY S STE 100
FARGO ND
58104-5534
US

IV. Provider business mailing address

813 LEONARDS WAY
ARGUSVILLE ND
58005-9602
US

V. Phone/Fax

Practice location:
  • Phone: 701-404-7285
  • Fax:
Mailing address:
  • Phone: 701-404-7285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TRISHA CHADDUCK
Title or Position: OWNER
Credential: LCSW
Phone: 701-404-7285