Provider Demographics
NPI:1891849592
Name:SENN, PATTI L (MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:L
Last Name:SENN
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 38TH ST S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-4443
Mailing Address - Country:US
Mailing Address - Phone:701-356-7772
Mailing Address - Fax:
Practice Address - Street 1:3201 FIECHTNER DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2358
Practice Address - Country:US
Practice Address - Phone:701-293-3384
Practice Address - Fax:651-925-0057
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1491101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND22823OtherBCBS ND #