Individual provider · Type 1 NPI
Loretta Jayne Bach Gansen, L.A.D.C.
Addiction (Substance Use Disorder) Counselor · Park Rapids, MN
NPI number
1164656989
Active
Practice location
515 Bridge St
Park Rapids, MN 56470-1210
Fax (218) 237-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300392 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Park Rapids
About NPI 1164656989
Loretta Jayne Bach Gansen, L.A.D.C.'s National Provider Identifier is 1164656989, issued on May 7, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Park Rapids, MN. The record was last updated on Feb 20, 2019.