Reid, Jennifer

Reid, Jennifer is an individual health care provider with primary practice located at 1201 25Th St S , Fargo ND 58103-2311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Reid, Jennifer can be contacted via phone (701) 451-4900.

Contact Information

Primary practice address
1201 25Th St S Fargo ND 58103-2311
Fax: (651) 925-0057
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 547-1-1-06 North Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1525 North Dakota

Profile Details

NPI number 1255485850
LBN Legal business name Reid, Jennifer
Credentials M.ED, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255485850 NPPES
North Dakota Other 27356 BCBSND #

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