NPI 1598079394

Jessica Ann Brown, LAC

Practitioner Substance Abuse Rehabilitation Facility Fargo, ND

Practice location

Address: 1202 23rd St S, Fargo, ND 58103-2951
Phone: (701) 293-5429
Fax: (107) 293-0736

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in North Dakota →

Registry record

NPI: 1598079394
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2010
Record last updated: 4 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.