JASON ANDERSEN

MINOT, ND
NPI1841229648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND  1474)
Enumeration Date2006-07-02
Last Update Date2007-07-08
Business Address
JASON ANDERSEN LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500
Mailing Address
JASON ANDERSEN LAC
1015 S BROADWAY STE 18
MINOT, ND 58701-4667
Phone number: 701-857-8500