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)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