JILL M LAVELLE

FARGO, ND
NPI1609025659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND  ND1439)
Enumeration Date2008-09-15
Last Update Date2008-09-15
Business Address
MS. JILL M LAVELLE M.ED. LAC
1445 1ST AVE N
FARGO, ND 58102
Phone number: 701-261-3113
Mailing Address
MS. JILL M LAVELLE M.ED. LAC
1445 1ST AVE N
FARGO, ND 58102
Phone number: 701-261-3113