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Individual

JODINE M EBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748
Mailing address
16351 I94, HOME ON THE RANGE, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
(701) 872-3748

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1584
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75006
ND
Enumeration date
06/30/2008
Last updated
06/30/2008
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