Individual
JODI L RAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/LAC
Contact information
Practice address
1407 24TH AVE S STE 225, GRAND FORKS, ND 58201-6761
(701) 317-5692
Mailing address
1407 24TH AVE S STE 225, GRAND FORKS, ND 58201-6761
(701) 317-5692
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1623
ND
Other
Enumeration date
06/02/2010
Last updated
08/22/2013
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