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General NPI Number Information
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NPI Number | 1699883363
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Entity Type | Individual
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Provider Name | ELIZABETH A GJERDE M.ED
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 200 5TH ST S STE 301
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City | MOORHEAD
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State | MN
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Zip | 56560-2768
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Country | US
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Telephone | 701-866-3969
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Fax | 701-540-0106
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Provider Business Mailing Address
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Address Line | 3239 4TH AVE N
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City | MOORHEAD
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State | MN
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Zip | 56560-1304
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Country | US
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Telephone | 701-866-3969
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Fax | 701-540-0106
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 560-9-1-06-186
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License Number State | ND
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