person
Jodie M Evenson, LADC
Addiction (Substance Use Disorder) Counselor in Mora, Minnesota
NPI 1275243552

Jodie M Evenson is an Addiction (Substance Use Disorder) Counselor based in Pine City, MN and is specialized in Addiction (Substance Use Disorder). Jodie M Evenson practices in Mora, MN and has the professional credentials of LADC. The NPI Number for Jodie M Evenson is 1275243552 and holds a License No. 306374 (Minnesota).

The current practice location address for Jodie M Evenson is 206 Maple Ave E, Mora, MN and can be reached out via phone at 320-209-1941.

Location: 206 Maple Ave E, Mora, MN, 55063-1020
person
Provider Profile Details
NPI Number
1275243552
Provider Name
Jodie M Evenson
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
206 Maple Ave E, Mora, MN, 55063-1020
Phone Number
320-209-1941
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 Maple Ave E
City
State
Zip
55051-1311
Phone Number
320-209-1941
Fax Number
person
Provider Business Mailing Address Details
Address
206 Maple Ave E
City
State
Zip
55051-1311
Phone Number
320-209-1941
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
306374 (Minnesota)
Definition
Definition to come...
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