Individual
JEREMY TRAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
505 40TH ST S UNIT B, FARGO, ND 58103-1184
(701) 478-8440
(701) 478-8441
Mailing address
1121 2ND AVE S APT 18, MOORHEAD, MN 56560-2979
(218) 233-6398
(218) 236-6567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1664
ND
Other
Enumeration date
11/16/2011
Last updated
01/10/2012
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