Individual
MRS. JACQUELINE M GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC, LADC, M.ED
Contact information
Practice address
1202 23 ST S, FARGO, ND 58103
(701) 293-5429
(701) 293-0736
Mailing address
4227 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1542
ND
Other
Enumeration date
11/22/2006
Last updated
08/19/2025
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