Individual provider · Type 1 NPI

Irene Callista Abide, LADC

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

NPI number 1205520509 Active

Practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Call (651) 628-9566 Map

Mailing address

2155 Kelly Dr
Golden Valley, MN 55427-3517

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1205520509

Irene Callista Abide, LADC's National Provider Identifier is 1205520509, issued on Jun 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Jun 8, 2023.