Klefstad, Luke J.

Klefstad, Luke J. is an individual health care provider with primary practice located at 1726 S Washington St Ste 33A , Grand Forks ND 58201-6370. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Klefstad, Luke J. can be contacted via phone (701) 746-4584.

Contact Information

Primary practice address
1726 S Washington St Ste 33A Grand Forks ND 58201-6370
Phone: (701) 746-4584
Fax: (651) 925-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 428-9-1-99 North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 428-9-1-99 North Dakota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 428-9-1-99 North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 428-9-1-99-237 North Dakota

Profile Details

NPI number 1104837251
LBN Legal business name Klefstad, Luke J.
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 18th, 2019 - about 7 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 1104837251 NPPES
North Dakota Other 450226423 FEDERAL TAX ID

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