Individual provider · Type 1 NPI
Jennifer Landphere, B.S., LAC
Addiction (Substance Use Disorder) Counselor · Fargo, ND
NPI number
1417001033
Active
Practice location
409 7th St S
Fargo, ND 58103-1821
Fax (701) 293-3759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1510 (ND) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1417001033
Jennifer Landphere, B.S., LAC's National Provider Identifier is 1417001033, issued on Jan 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Jul 19, 2010.