Individual
MARY JO CLAIRMONT-HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPC
Contact information
Practice address
3201 FIECHTNER DR S, FARGO, ND 58103-2358
(701) 293-3384
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1723
ND
Other
Enumeration date
09/25/2012
Last updated
08/30/2016
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