Provider Demographics
NPI:1245807452
Name:RONIN COUNSELING
Entity type:Organization
Organization Name:RONIN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:AFANASI
Authorized Official - Last Name:POLANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:701-630-8813
Mailing Address - Street 1:3285 FIECHTNER DR S STE B
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2490
Mailing Address - Country:US
Mailing Address - Phone:701-630-8813
Mailing Address - Fax:701-425-0448
Practice Address - Street 1:3285 FIECHTNER DR S STE B
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2490
Practice Address - Country:US
Practice Address - Phone:701-630-8813
Practice Address - Fax:701-425-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty