Individual provider · Type 1 NPI
Jessica Rose Bodine, LAC
Addiction (Substance Use Disorder) Counselor · Jamestown, ND
NPI number
1235795485
Active
Practice location
520 3rd St NW
Jamestown, ND 58401-2968
Fax (701) 253-6400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1853 (ND) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235795485
Jessica Rose Bodine, LAC's National Provider Identifier is 1235795485, issued on May 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamestown, ND. The record was last updated on Sep 9, 2025.