Jennifer Jo Spatola, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cando, ND
NPI 1184906828 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1184906828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1524 (ND)
- Practice address
- 7448 68TH Ave NE
Cando, ND 58324-9485 - Phone
- (701) 968-2568
- Fax
- (701) 968-2560
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1524 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1524 | ND | Yes |
Addresses
Primary practice location
7448 68TH Ave NE
Cando, ND 58324-9485
Mailing address
7448 68TH Ave NE
Cando, ND 58324-9485
Phone (701) 968-2568
Other providers in Cando, ND
- Neumann Rexall Drug
- Lana Nicholas
- Brittany Rose Peterson
- Russell Petty
- Samantha Sears
- Paige Nelleen Sullivan
- Brock Benjamin Thomas
- Shari Timms
- Towner County
- Towner County Ambulance Service Inc
All providers in Cando, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.