Jana Lee Theisen, LAC, LSW - in Grand Forks, ND

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Jana Lee Theisen, LAC, LSW is a Counselor - Addiction (substance Use Disorder) based in Grand Forks, North Dakota. Jana Lee Theisen is licensed to practice in North Dakota (license number 1598) and her current practice location is 2424 32nd Ave S Ste 202, Grand Forks, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 746-6336.

NPI number for Jana Lee Theisen is 1851694806 and her current mailing address is 2424 32nd Ave S Ste 202, Grand Forks, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851694806.

Contact Information

Jana Lee Theisen, LAC, LSW
2424 32nd Ave S Ste 202,
Grand Forks, ND 58201-6545
(701) 746-6336
(701) 772-1030

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Healthcare Provider's Profile

Full NameJana Lee Theisen
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2424 32nd Ave S Ste 202, Grand Forks, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851694806
  • Provider Enumeration Date: 12/14/2010
  • Last Update Date: 05/20/2025

Medical Identifiers

Medical identifiers for Jana Lee Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851694806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 4196 (North Dakota)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 1598 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jana Lee Theisen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jana Lee Theisen, LAC, LSW
2424 32nd Ave S Ste 202,
Grand Forks, ND 58201-6545

Ph: (701) 746-6336		Jana Lee Theisen, LAC, LSW
2424 32nd Ave S Ste 202,
Grand Forks, ND 58201-6545

Ph: (701) 746-6336

Reviews and Comments



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