person
Lori Mae Evjen, LAC
Addiction (Substance Use Disorder) Counselor in Jamestown, North Dakota
NPI 1558475061

Lori Mae Evjen is an Addiction (Substance Use Disorder) Counselor based in Jamestown, ND and is specialized in Addiction (Substance Use Disorder). Lori Mae Evjen practices in Jamestown, ND and has the professional credentials of LAC. The NPI Number for Lori Mae Evjen is 1558475061 and holds a License No. 1490 (North Dakota).

The current practice location address for Lori Mae Evjen is 520 3Rd St Nw, Jamestown, ND and can be reached out via phone at 701-253-6324 and via fax at 701-253-6400. You can also correspond with Lori Mae Evjen through the mailing address at PO BOX 2055, JAMESTOWN, ND - 58402-2055 (mailing address contact number: 701-253-6324).

Location: 520 3Rd St Nw, Jamestown, ND, 58402-2055
person
Provider Profile Details
NPI Number
1558475061
Provider Name
Lori Mae Evjen
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
520 3Rd St Nw, Jamestown, ND, 58402-2055
Phone Number
701-253-6324
Fax Number
701-253-6400
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022587 01 ND BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
520 3Rd St Nw
City
State
Zip
58401-2968
Phone Number
701-253-6324
Fax Number
701-253-6400
person
Provider Business Mailing Address Details
Address
520 3Rd St Nw
City
State
Zip
58401-2968
Phone Number
701-253-6324
Fax Number
701-253-6400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1490 (North Dakota)
Definition
Definition to come...
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