Jesola INC
NPI #1861497190 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1861497190
- Entity Type
- Organization
- Organization Name
- Jesola INC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1000 8TH ST SE
- Address 2
- STE A
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501-2819
- Phone
- (218) 847-0696
Authorized Official
- Name
- JESSICA RAE MOENCH, BS, LADC
- Title
- OWNER/DIRECTOR
- Phone
- (218) 396-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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