Individual provider · Type 1 NPI

Jill M. Lavelle, M.ED. LAC

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1609025659 Active

About NPI 1609025659

Jill M. Lavelle, M.ED. LAC's National Provider Identifier is 1609025659, issued on Sep 15, 2008. 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 Sep 15, 2008.