Individual
JANE ELLA PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 444-5155
(218) 333-3921
Mailing address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 444-5155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302439
MN
Other
Enumeration date
06/24/2013
Last updated
03/13/2023
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