SearchMinnesota101YA0400X

Jodie Evenson, LADC

NPI 1275243552 · on the registry since 2022

Practice

Address
206 Maple Ave E
Mora, MN 55051
Phone
(320) 209-1941
Organisation at this address
Serenity Manor
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota