National Provider Identifier
Courtney Jo Burgad-Wifall
Courtney Jo Burgad-Wifall is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Fargo, ND and a listed phone number of (701) 321-2175.
Source: public NPPES record, last updated October 20, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1568836781
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 27, 2015
- Last Updated
- October 20, 2022
Practice Location
- 901 28Th St S Ste C
- Fargo, ND 58103-8745
Phone: (701) 321-2175
Mailing Address
- PO Box 2010
- Fargo, ND 58122-2484
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Social Worker (104100000X)
Endpoints
- https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Connect Url | Other | Cobius Healthcare Solutions | Northbrook, IL 60062
2.16.840.1.113883.3.1068.1
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Biography
Courtney Burgad-Wifall, LCSW, is a North Dakota behavioral health clinician with documented credentials in clinical social work and addiction counseling. Her public NPPES profile lists North Dakota licensure connected with both clinical social work and substance-use counseling, pointing to a practice background centered on behavioral health and addiction treatment.
Full Record
- NPI
- 1568836781
- Entity Type
- Individual
- Last Name
- Burgad-Wifall
- First Name
- Courtney
- Middle Name
- Jo
- Mailing Street Address
- PO Box 2010
- Mailing City
- Fargo
- Mailing State
- ND
- Mailing ZIP Code
- 58122-2484
- Mailing Country
- US
- Practice Street Address
- 901 28Th St S Ste C
- Practice City
- Fargo
- Practice State
- ND
- Practice ZIP Code
- 58103-8745
- Practice Country
- US
- Practice Phone
- (701) 321-2175
- Enumeration Date
- November 27, 2015
- Last Updated
- October 20, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Social Worker (104100000X)