Individual provider · Type 1 NPI

Marianne Bernadette Thiry, LADC

Addiction (Substance Use Disorder) Counselor · Pine City, MN

NPI number 1063705929 Active

Practice location

17305 Meadow Creek Lane
Pine City, MN 55063

Call (763) 444-4878 Map

Mailing address

37626 Rendova St NE
Stanchfield, MN 55080-5025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301772 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063705929

Marianne Bernadette Thiry, LADC's National Provider Identifier is 1063705929, issued on May 25, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pine City, MN. The record was last updated on May 25, 2011.