MEDICARE: BIRCH TREE COUNSELING PLLC

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
1	101YP2500X	Professional Counselor	6221109213	ND

General Provider Information

NPI Number	:	1427589225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRCH TREE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	3788 55TH AVE S STE 208
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5588
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3788 55TH AVE S STE 208
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5588
Country	:	US
Telephone Number	:	701-478-2999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBBERLEE FETTING
Credential	:
Telephone Number	:	701-478-2999

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	11/05/2025

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