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Contact Information

JESSICA A BROWN, LAC
1202 23RD ST S
FARGO, ND58103-2951
 Phone: 701-293-5429
 Fax: 107-293-0736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for JESSICA A BROWN · (Female)

NPI Number 1598079394
Status Active
Credentials LAC
Entity Individual
Enumeration date 08/04/2010
Last updated 08/04/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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