Individual
MR. JAMES SYMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC ND 1376 SWKN0231
Contact information
Practice address
1202 23 ST S, FARGO, ND 58103
(701) 293-5429
(701) 293-0736
Mailing address
1202 23 ST S, FARGO, ND 58103
(701) 293-5429
(701) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1072
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002
—
ND
Enumeration date
03/15/2007
Last updated
07/08/2007
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