IndividualActive
Crystal Liddycoat, MA, LAC, LPC
NPI 1356581227 · Mental Health Counselor · West Fargo, ND
Provider details
- NPI number
- 1356581227
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LAC, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1596 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
726 13th Ave E
West Fargo, ND 58078-3304
Phone: (971) 500-2661
Approximate (ZIP-level) locationGet directions
Mailing address
2910 38th Ave S
Fargo, ND 58104-7061
Additional practice locations (1)
- 6258 14th St SFargo, ND 58104-7230Phone: (530) 799-0499
Registry dates
- Enumerated
- 2009-03-04
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.