Individual provider · Type 1 NPI
Courtney Denise Mike
Addiction (Substance Use Disorder) Counselor · Apple Valley, MN
NPI number
1134630932
Active
Practice location
7300 147th St W
Apple Valley, MN 55124-7541
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1134630932
Courtney Denise Mike's National Provider Identifier is 1134630932, issued on Oct 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Apple Valley, MN. The record was last updated on Oct 19, 2017.