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Search › North Dakota › 101YA0400X

Gerard Kottenbrock, LICSW LAC

NPI 1528161189 · on the registry since 2006

Practice

Address
510 4th St S
Fargo, ND 58103
Phone
(701) 476-7240
Fax
(701) 476-7269
Organisation at this address
Prairie St Johns
Prairier St John'S
Psj Acquisition Llc
Psj Acquisition Llc
Prairie St. John'S, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
1041C0700X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota