Individual
JAMIE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 4TH ST S STE 112, FARGO, ND 58103-1929
(701) 478-1221
(701) 478-1222
Mailing address
100 4TH ST S STE 112, FARGO, ND 58103-1929
(701) 478-1221
(701) 478-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
966-8-1-18A
ND
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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