Male or Other

Kenneth J. Scheller LCSW

Clinical Social Worker in Fargo, ND(View on Map)

Full Name

Kenneth J Scheller LCSW

NPI Number

1194193623

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/15/2015

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Indiana
North Dakota

License Number

34006131A
6226

Contact
Information

Purpose

Mailing
Location

Address

265 PRAIRIEWOOD DR S
5201 BISHOPS BLVD S STE B

City

Fargo
Fargo

State

ND
ND

Postal Code

58103-4625
58104-7605

Country

US
US

Telephone Number

(812) 454-4954
(812) 454-4954

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/13/2022

Provider Address

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