person
Jordan Bahnsen
Peer Specialist in Fargo, North Dakota
NPI 1699495887

Jordan Bahnsen is a Peer Specialist based in Fargo, ND. Jordan Bahnsen practices in Fargo, ND. The NPI Number for Jordan Bahnsen is 1699495887 and holds a License No. 00000 (North Dakota).

The current practice location address for Jordan Bahnsen is 921 2Nd Ave S, Fargo, ND and can be reached out via phone at 701-361-9922 and via fax at 701-829-7140. You can also correspond with Jordan Bahnsen through the mailing address at 21 9TH ST S, FARGO, ND - 58103-1830 (mailing address contact number: 701-361-9922).

Location: 921 2Nd Ave S, Fargo, ND, 58103-1830
person
Provider Profile Details
NPI Number
1699495887
Provider Name
Jordan Bahnsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
921 2Nd Ave S, Fargo, ND, 58103-1830
Phone Number
701-361-9922
Fax Number
701-829-7140
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 05 ND
175T00000X 05 ND
institution
Provider Business Practice Location Address Details
Address
921 2Nd Ave S
City
State
Zip
58103-1705
Phone Number
701-361-9922
Fax Number
701-829-7140
person
Provider Business Mailing Address Details
Address
921 2Nd Ave S
City
State
Zip
58103-1705
Phone Number
701-361-9922
Fax Number
701-829-7140
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
00000 (North Dakota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
00000 (North Dakota)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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