Individual
MS. CAROL JOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LAPC
Contact information
Practice address
7448 68TH AVE NE, CANDO, ND 58324-9485
(701) 968-4056
Mailing address
7448 68TH AVE NE, CANDO, ND 58324-9485
(701) 968-4056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1788
ND
101YM0800X
Mental Health Counselor
—
ND
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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