Individual
JADE MAKAE NOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
Mailing address
211 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 746-0405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1328-10-1-23A
ND
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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