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Jennifer Landphere, B.S., LAC

Counselor, Addiction (Substance Use Disorder) in Fargo, ND. Individual provider (NPI-1).

NPI number1417001033
StatusActive
Last updated in NPPESJul 19, 2010

Details

NPI
1417001033
Entity type
Individual (NPI-1)
Name
Jennifer Landphere
Credential
B.S., LAC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 22, 2007
Last updated
Jul 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)1510NDYes

Practice location

409 7th St S
Fargo, ND 58103-1821

Phone 701-293-3384 · Fax 701-293-3759

Mailing address

409 7th St S
Fargo, ND 58103-1821

Phone 701-293-3384 · Fax 701-293-3759

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