Individual
MANDY JO HOFLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7880
Mailing address
651 PHEASANT RUN, WEST FARGO, ND 58078-3136
(701) 371-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1832
ND
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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