Individual
JESSICA WATTERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
17 S MAIN ST, CROSBY, ND 58730-5873
(701) 240-6971
(701) 965-3522
Mailing address
PO BOX 136, CROSBY, ND 58730-0136
(701) 240-6971
(701) 965-3522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
228
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2012
Last updated
08/16/2018
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