Individual provider · Type 1 NPI

Kimberley Marie Edens, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1205955978 Active

Practice location

1121 Jackson St NE, Suite 105
Minneapolis, MN 55413-1672

Call (612) 236-1705 Map

Fax (612) 236-1701

Mailing address

763 2nd St
Hammond, WI 54015-9781

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301386 (MN)

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

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About NPI 1205955978

Kimberley Marie Edens, LADC's National Provider Identifier is 1205955978, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.