Individual provider · Type 1 NPI

Kathy Clark Dansberry, LADC

Addiction (Substance Use Disorder) Counselor · New Hope, MN

NPI number 1194297390 Active

Practice location

2738 Winnetka Ave N # 150M2
New Hope, MN 55427-2850

Fax (763) 762-8762

Mailing address

4425 Rhode Island Ave N Apt 324
New Hope, MN 55428-4942

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300889 (MN)

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

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About NPI 1194297390

Kathy Clark Dansberry, LADC's National Provider Identifier is 1194297390, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Hope, MN. The record was last updated on Mar 11, 2019.