person
Miss Jeris Jean Vaida
Addiction (Substance Use Disorder) Counselor in Virginia, Minnesota
NPI 1336658533

Jeris Jean Vaida is an Addiction (Substance Use Disorder) Counselor based in Virginia, MN and is specialized in Addiction (Substance Use Disorder). Jeris Jean Vaida practices in Virginia, MN. The NPI Number for Jeris Jean Vaida is 1336658533 and holds a License No. 304245 (Minnesota).

The current practice location address for Jeris Jean Vaida is 505 S 12Th Ave W, Virginia, MN and can be reached out via phone at 218-749-2877 and via fax at 218-749-6033.

Location: 505 S 12Th Ave W, Virginia, MN, 55792-3099
person
Provider Profile Details
NPI Number
1336658533
Provider Name
Jeris Jean Vaida
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 S 12Th Ave W, Virginia, MN, 55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 S 12Th Ave W
City
State
Zip
55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider Business Mailing Address Details
Address
505 S 12Th Ave W
City
State
Zip
55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
304245 (Minnesota)
Definition
Definition to come...
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