IndividualActive
Clayton Henke
NPI 1649074097 · Peer Specialist · Fargo, ND
Provider details
- NPI number
- 1649074097
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sole proprietor
- Yes
- License
- 616 (ND)
Specialties & taxonomies
Other Service Providers
Practice location
921 2nd Ave S
Fargo, ND 58103-1705
Phone: (701) 318-8204
Approximate (ZIP-level) locationGet directions
Mailing address
921 2nd Ave S
Fargo, ND 58103-1705
Registry dates
- Enumerated
- 2025-04-03
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.