JUSTIN N CHASE

FARGO, ND
NPI1831753631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1851)
Enumeration Date2019-04-26
Last Update Date2019-04-26
Business Address
JUSTIN N CHASE LAC
2701 12TH AVE S
FARGO, ND 58103-8753
Phone number: 701-451-4900
Mailing Address
JUSTIN N CHASE LAC
1201 25TH ST S
FARGO, ND 58103-2311
Phone number: 701-451-4900
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