Healthcare Provider Details

I. General information

NPI: 1376185967
Provider Name (Legal Business Name): CASSONDRA BADKE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSONDRA KRAMER

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 7TH ST SW
MINOT ND
58701-7025
US

IV. Provider business mailing address

2910 7TH ST SW
MINOT ND
58701-7025
US

V. Phone/Fax

Practice location:
  • Phone: 701-833-1246
  • Fax:
Mailing address:
  • Phone: 701-833-1246
  • Fax: 701-335-7106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1294-6-1-23-560
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: