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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104837251 | NPPES |
| North Dakota | Other | 450226423 | FEDERAL TAX ID |
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