Hartson, Kandy M

Hartson, Kandy M is an individual health care provider with primary practice located at 510 4Th Street South Prairie St Johns Hospital, Fargo ND 58107-2027. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hartson, Kandy M can be contacted via phone (701) 476-7200.

Contact Information

Primary practice address
510 4Th Street South Prairie St Johns Hospital Fargo ND 58107-2027
Phone: (701) 476-7200
Fax: (701) 476-7263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 09579 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 849 North Dakota

Profile Details

NPI number 1679669709
LBN Legal business name Hartson, Kandy M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679669709 NPPES
North Dakota MEDICAID 19121

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