Individual provider · Type 1 NPI

Alexandra Wyss, L.A.D.C.

Addiction (Substance Use Disorder) Counselor · Bloomington, MN

NPI number 1114379336 Active

Practice location

1101 E 78th St, 100
Bloomington, MN 55420-1400

Mailing address

1900 Silver Lake Road NW, Suite 110
New Brighton, MN 55112

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304297 (MN)

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

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About NPI 1114379336

Alexandra Wyss, L.A.D.C.'s National Provider Identifier is 1114379336, issued on Jul 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, MN. The record was last updated on Aug 26, 2016.