Provider Demographics
NPI:1013278571
Name:STELLBERG-FILBERT, JESSICA YVONNE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:YVONNE
Last Name:STELLBERG-FILBERT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 23RD ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1731
Mailing Address - Country:US
Mailing Address - Phone:702-738-2724
Mailing Address - Fax:
Practice Address - Street 1:24 MAIN ST N STE J
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-3104
Practice Address - Country:US
Practice Address - Phone:702-738-2724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2015-048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist