Individual
KATIE JO JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMSW
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1745
ND
104100000X
Social Worker
5970
ND
Other
Enumeration date
02/24/2015
Last updated
10/06/2020
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