Individual provider · Type 1 NPI
Jodie M. Evenson, LADC
Addiction (Substance Use Disorder) Counselor · Mora, MN
NPI number
1275243552
Active
Practice location
206 Maple Ave E
Mora, MN 55051-1311
Mailing address
665 5th Ave NW
Pine City, MN 55063-1020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 306374 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1275243552
Jodie M. Evenson, LADC's National Provider Identifier is 1275243552, issued on Nov 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mora, MN. The record was last updated on Nov 28, 2022.