Male or Other

Jesus A. Payan Chacon LAPC

Mental Health Counselor in Bismarck, ND(View on Map)

Full Name

Jesus Adalberto Payan Chacon LAPC

NPI Number

1194563551

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/18/2024

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

1376-7-1-24A

Contact
Information

Purpose

Mailing
Location

Address

515 E BROADWAY AVE
515 E BROADWAY AVE

City

Bismarck
Bismarck

State

ND
ND

Postal Code

58501-4407
58501-4407

Country

US
US

Telephone Number

(701) 751-0443
(701) 751-0443

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/18/2024

Provider Address

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