Individual provider · Type 1 NPI

John Theodore Gudahl, LADC

Addiction (Substance Use Disorder) Counselor · Rochester, MN

NPI number 1114692092 Active

Practice location

300 11th Ave NW Ste 112
Rochester, MN 55901-2739

Call (507) 216-6500 Map

Mailing address

5633 White Oaks Ln NW
Rochester, MN 55901-3778

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305754 (MN)

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

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About NPI 1114692092

John Theodore Gudahl, LADC's National Provider Identifier is 1114692092, issued on Aug 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Aug 12, 2021.