Provider Demographics
NPI:1275203754
Name:C&K COUNSELING, PLLC
Entity Type:Organization
Organization Name:C&K COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:AMELIA
Authorized Official - Last Name:LABERE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:701-975-3200
Mailing Address - Street 1:107 W MAIN AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3890
Mailing Address - Country:US
Mailing Address - Phone:701-975-3200
Mailing Address - Fax:
Practice Address - Street 1:107 W MAIN AVE STE 325
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3890
Practice Address - Country:US
Practice Address - Phone:701-975-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health