Individual
MRS. NANCY ELLEN PERSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED/LAC
Contact information
Practice address
115 UNIVERSITY DR N, FARGO, ND 58102-4667
(701) 237-4542
(701) 293-8748
Mailing address
115 UNIVERSITY DR N, FARGO, ND 58102-4667
(701) 237-4542
(701) 293-8748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1345
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26630
BCBS
ND
Enumeration date
09/28/2007
Last updated
09/28/2007
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