Individual
MR. JORDAN LOUIS PASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
300 30TH AVE NW STE D, MINOT, ND 58703-0611
(701) 712-9703
Mailing address
300 30TH AVE NW STE D, MINOT, ND 58703-0611
(701) 712-9703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1845
ND
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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