Individual provider · Type 1 NPI

Jennifer Goldade, LAC

Addiction (Substance Use Disorder) Counselor · Bismarck, ND

NPI number 1235490970 Active

Practice location

1237 W Divide Ave, Ste 5
Bismarck, ND 58501-1208

Fax (701) 328-8900

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X90L-77-2089 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235490970

Jennifer Goldade, LAC's National Provider Identifier is 1235490970, issued on May 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bismarck, ND. The record was last updated on May 30, 2012.