National Provider Identifier
Jodie M Evenson, LADC
Jodie M Evenson, LADC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Mora, MN and a listed phone number of (320) 209-1941.
Source: public NPPES record, last updated November 28, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1275243552
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 28, 2022
- Last Updated
- November 28, 2022
Practice Location
- 206 Maple Ave E
- Mora, MN 55051-1311
Phone: (320) 209-1941
Mailing Address
- 665 5Th Ave Nw
- Pine City, MN 55063-1020
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Jodie Evenson, LADC, is a Minnesota alcohol and drug counselor based in Mora, with a public provider record linking her practice to True Directions Inc.
Full Record
- NPI
- 1275243552
- Entity Type
- Individual
- Last Name
- Evenson
- First Name
- Jodie
- Middle Name
- M
- Credential
- LADC
- Provider Other Last Name
- Billstrom
- Provider Other First Name
- Jodie
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 665 5Th Ave Nw
- Mailing City
- Pine City
- Mailing State
- MN
- Mailing ZIP Code
- 55063-1020
- Mailing Country
- US
- Mailing Phone
- (320) 209-1941
- Practice Street Address
- 206 Maple Ave E
- Practice City
- Mora
- Practice State
- MN
- Practice ZIP Code
- 55051-1311
- Practice Country
- US
- Practice Phone
- (320) 209-1941
- Enumeration Date
- November 28, 2022
- Last Updated
- November 28, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 28, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)