Individual
MR. JAY CHRISTOPHER DURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
417 MAIN AVE STE 401, FARGO, ND 58103-1956
(701) 289-7676
Mailing address
1309 3RD ST N, FARGO, ND 58102-2728
(701) 639-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306352
MN
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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