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Individual

JAMIE NEWBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3369 39TH ST S STE 2, FARGO, ND 58104-7542
(701) 532-1353
(701) 532-1505
Mailing address
3369 39TH ST S STE 2, FARGO, ND 58104-7542
(701) 532-1353
(701) 532-1505

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1163-10-15-21A
ND
101YP2500X
Professional Counselor
1163-10-15-21A
ND

Other

Enumeration date
11/05/2021
Last updated
11/10/2021
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