Individual provider · Type 1 NPI
Jennifer Rebecca Gifford, MS, LADC
Addiction (Substance Use Disorder) Counselor · Detroit Lakes, MN
NPI number
1447588918
Active
Practice location
115 Willow St W, Suite #1
Detroit Lakes, MN 56501-3922
Fax (218) 844-5193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302760 (MN) |
| Professional Counselor | 101YP2500X | None listed |
| School Counselor | 101YS0200X | 436787 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1447588918
Jennifer Rebecca Gifford, MS, LADC's National Provider Identifier is 1447588918, issued on Nov 21, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit Lakes, MN. The record was last updated on Dec 3, 2009.