Individual
JESSICA L DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPCC, NCC
Contact information
Practice address
300 NP AVENUE, SUITE 201, FARGO, ND 58102-4871
(701) 941-0175
(701) 941-3001
Mailing address
4160 24 AVE S, SUITE 102, FARGO, ND 58104-9038
(701) 941-0175
(701) 941-3001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
845-8-1-15-330
ND
Other
Enumeration date
02/19/2020
Last updated
07/19/2024
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