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Contact Information

JESSICA R BODINE, LAC
520 3RD ST NW
JAMESTOWN, ND58401-2968
 Phone: 701-253-6300
 Fax: 701-253-6400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JESSICA R BODINE · (Female)

NPI Number 1235795485
Status Active
Credentials LAC
Entity Individual
Enumeration date 05/14/2019
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • ND License # 1853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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