Individual
CANDACE M. JEANNOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WASHINGTON AVE STE 402, WILLISTON, ND 58801-5242
(701) 833-1991
(701) 223-2843
Mailing address
309 WASHINGTON AVE STE 402, WILLISTON, ND 58801-5242
(701) 833-1991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/07/2024
Last updated
06/11/2025
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