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Jason Andersen, LAC
Addiction (Substance Use Disorder) Counselor in Minot, North Dakota
NPI 1841229648

Jason Andersen is an Addiction (Substance Use Disorder) Counselor based in Minot, ND and is specialized in Addiction (Substance Use Disorder). Jason Andersen practices in Minot, ND and has the professional credentials of LAC. The NPI Number for Jason Andersen is 1841229648 and holds a License No. 1474 (North Dakota).

The current practice location address for Jason Andersen is 1015 S Broadway Ste 18, Minot, ND and can be reached out via phone at 701-857-8500 and via fax at 701-857-8555.

Location: 1015 S Broadway Ste 18, Minot, ND, 58701-4667
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Provider Profile Details
NPI Number
1841229648
Provider Name
Jason Andersen
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
1015 S Broadway Ste 18, Minot, ND, 58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
Provider Enumeration Date
07/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054517 05 ND
020518 01 ND BCBS ND PIN
institution
Provider Business Practice Location Address Details
Address
1015 S Broadway Ste 18
City
State
Zip
58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
person
Provider Business Mailing Address Details
Address
1015 S Broadway Ste 18
City
State
Zip
58701-4667
Phone Number
701-857-8500
Fax Number
701-857-8555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1474 (North Dakota)
Definition
Definition to come...
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