Individual
JESSICA ROSE BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1853
ND
171M00000X
Case Manager/Care Coordinator
—
ND
Other
Enumeration date
05/14/2019
Last updated
09/09/2025
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