Individual
DR. JODI LEIGH TANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTORATE
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1121-5-1-21
ND
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/20/2011
Last updated
09/03/2024
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