Individual
JESSICA HALONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 1ST ST W, DICKINSON, ND 58601-5001
(701) 941-2892
Mailing address
3333 E BROADWAY AVE STE 1215, BISMARCK, ND 58501-3395
(701) 941-2892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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