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General NPI Number Information
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NPI Number | 1225974587
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Entity Type | Organization
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Legal Business Name | PRAIRIE & PINE THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 3501 45TH ST S STE 2
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City | FARGO
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State | ND
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Zip | 58104-8953
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Country | US
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Telephone | 701-394-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 2893 164TH AVE SE
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City | ARGUSVILLE
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State | ND
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Zip | 58005-9713
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Country | US
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Telephone | 218-330-5190
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ALLYSON RUST
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Credential | LPCC
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Telephone | 701-394-5036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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