Lelm, Jackie Marie

Lelm, Jackie Marie is an individual health care provider with primary practice located at 1237 W Divide Ave Ste 5, Bismarck ND 58501-1208. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lelm, Jackie Marie can be contacted via phone (701) 328-8843.

Contact Information

Primary practice address
1237 W Divide Ave Ste 5 Bismarck ND 58501-1208
Phone: (701) 328-8843
Fax: (701) 328-8900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3132 North Dakota

Profile Details

NPI number 1053354662
LBN Legal business name Lelm, Jackie Marie
Credentials LICSW, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053354662 NPPES
Other N21924 RR MEDICARE
Other 021924 RR MEDICARE

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