Provider Demographics
NPI:1093834251
Name:JARMAN, JOHN T (LPCC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:JARMAN
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 REEVES DR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5646
Mailing Address - Country:US
Mailing Address - Phone:701-772-8446
Mailing Address - Fax:701-746-1865
Practice Address - Street 1:1015 REEVES DR
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5646
Practice Address - Country:US
Practice Address - Phone:701-772-8446
Practice Address - Fax:701-746-1865
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND16791912101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND17961OtherBCBSND PIN