Justin N Chase, LAC
Counselor, Addiction (Substance Use Disorder) in Fargo, ND. Individual provider (NPI-1).
NPI number1831753631
StatusActive
Last updated in NPPESApr 26, 2019
Details
- NPI
- 1831753631
- Entity type
- Individual (NPI-1)
- Name
- Justin N Chase
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2019
- Last updated
- Apr 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1851 | ND | Yes |
Practice location
2701 12th Ave SFargo, ND 58103-8753
Phone 701-451-4900
Mailing address
1201 25th St SFargo, ND 58103-2311
Phone 701-451-4900 · Fax 651-925-0057
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