Individual provider · Type 1 NPI

Justin N. Chase, LAC

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1831753631 Active

Practice location

2701 12th Ave S
Fargo, ND 58103-8753

Mailing address

1201 25th St S
Fargo, ND 58103-2311

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1851 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1831753631

Justin N. Chase, LAC's National Provider Identifier is 1831753631, issued on Apr 26, 2019. 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 Apr 26, 2019.