JUSTIN LARS KOLDEN

JAMESTOWN, ND
NPI1700152568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1672)
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
-- JUSTIN LARS KOLDEN LAC
520 3RD ST NW
JAMESTOWN, ND 58401-2968
Phone number: 701-253-6300
Mailing Address
-- JUSTIN LARS KOLDEN LAC
PO BOX 2055
JAMESTOWN, ND 58402-2055
Phone number: 701-253-6300