Individual
AMANDA VIGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMAC, LADC
Contact information
Practice address
901 28TH ST S STE C, FARGO, ND 58103-8745
(701) 404-1100
Mailing address
9616 70TH AVE S, SABIN, MN 56580-9512
(701) 720-0748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
04/14/2022
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