Individual
JENNIFER LANDPHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., LAC
Contact information
Practice address
409 7TH ST S, FARGO, ND 58103-1821
(701) 293-3384
(701) 293-3759
Mailing address
409 7TH ST S, FARGO, ND 58103-1821
(701) 293-3384
(701) 293-3759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1510
ND
Other
Enumeration date
01/22/2007
Last updated
07/19/2010
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