IndividualActive
Jessica Brown, LAC
NPI 1598079394 · Substance Abuse Rehabilitation Facility · Fargo, ND
Provider details
- NPI number
- 1598079394
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1202 23rd St S
Fargo, ND 58103-2951
Phone: (701) 293-5429
Fax: (107) 293-0736
Approximate (ZIP-level) locationGet directions
Mailing address
1202 23rd St S
Fargo, ND 58103-2951
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2010-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.