Organization
HEADWATERS NUTRITION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI SUE ROKALA RDN, CLC (REGISTERED DIETITIAN NUTRITIONIST)
(218) 689-1907
Entity
Organization
Contact information
Practice address
118 PAUL BUNYAN DR S, BEMIDJI, MN 56601-3236
(218) 689-1907
Mailing address
PO BOX 634, BRANDON, SD 57005-0634
(218) 689-1907
(218) 229-6054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
05/15/2026
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