Ibach, Misty

Ibach, Misty is an individual health care provider with primary practice located at 1202 23Rd St S , Fargo ND 58103-2951. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ibach, Misty can be contacted via phone (701) 293-5429.

Contact Information

Primary practice address
1202 23Rd St S Fargo ND 58103-2951
Phone: (701) 293-5429
Fax: (701) 293-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1783 North Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 775-3-1-14-430 North Dakota

Profile Details

NPI number 1184090433
LBN Legal business name Ibach, Misty
Credentials LAC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2015
Last updated May 3rd, 2022 - about 4 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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