Organization · Type 2 NPI
Central Minnesota Mental Health Center
Addiction (Substance Use Disorder) Counselor · Elk River, MN
NPI number
1114048170
Active
Practice location
730 Dodge Ave NW, Suite 101
Elk River, MN 55330-1926
Fax (763) 441-9057
Mailing address
1321 13th St N
St. Cloud, MN 56303-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 809836-3-CDT (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1114048170
Central Minnesota Mental Health Center's National Provider Identifier is 1114048170, issued on Apr 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elk River, MN. The record was last updated on Jul 21, 2008.