JEREMY TRAEN

FARGO, ND
NPI1811274038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1664)
Enumeration Date2011-11-16
Last Update Date2012-01-10
Business Address
-- JEREMY TRAEN LAC
505 40TH ST S UNIT B
FARGO, ND 58103-1184
Phone number: 701-478-8440
Mailing Address
-- JEREMY TRAEN LAC
1121 2ND AVE S APT 18
MOORHEAD, MN 56560-2979
Phone number: 218-233-6398
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