Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYSTAL RAE AXTMAN, M.S., LPCC
Active Sole ProprietorMYSTAL RAE AXTMAN, M.S., LPCC is a Professional Counselor healthcare provider located in FARGO, North Dakota. NPI 1285775569 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FARGO, ND
Registration Details
- NPI Number
- 1285775569
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2007 (19.493895079114 yrs)
- Last Updated
- Feb 15, 2023
- Licenses
-
472-3-1-02-164 (ND)472-3-1-02-164 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4675 40TH AVE S STE 115FARGO, ND, 581044592Browse ND providers · Browse ZIP 58104
- Phone
- 7014780906
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| LASHAI PFEIFER | M.ED., LPCC, LMAC | 1063437416 |
| LISA ANN MASTEL | LPC | 1013934652 |
| RICHARD WAYNE PREUSSLER | LPCC | 1386661866 |
| KATHRYN J HEIM | LPCC | 1780606277 |
| MS. JUNE MARIE FORDE | LPCC | 1275636888 |
| JAMES HENRY PFEIFER | LPCC | 1184724148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.