Individual
JENNA LEIGH FORBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
934-1-1-18-403
ND
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/07/2017
Last updated
11/18/2020
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