Healthcare Provider Details

I. General information

NPI: 1851225064
Provider Name (Legal Business Name): JENNA DIFRISCHIA LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 S WASHINGTON ST STE 3
GRAND FORKS ND
58201-6341
US

IV. Provider business mailing address

2017 S WASHINGTON ST STE 3
GRAND FORKS ND
58201-6341
US

V. Phone/Fax

Practice location:
  • Phone: 701-757-3338
  • Fax: 701-738-1118
Mailing address:
  • Phone: 701-757-3338
  • Fax: 701-738-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1551-6-15-26A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: