Organization · Type 2 NPI

Avalon Programs, LLC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1104950591 Active

Practice location

2800 University Ave SE, Suite 202
Minneapolis, MN 55414

Call (612) 638-2282 Map

Fax (612) 326-7642

Mailing address

550 Main St, Ste 230
New Brighton, MN 55112

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1016848 (MN)
Substance Abuse Rehabilitation Facility 324500000X1016848-4-CDT (MN)

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

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About NPI 1104950591

Avalon Programs, LLC's National Provider Identifier is 1104950591, issued on Mar 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 10, 2008.