Individual provider · Type 1 NPI
Nicole Leanne Bergstresser, MA, LADC
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1245856004
Active
Practice location
5201 Bryant Ave N
Minneapolis, MN 55430-3588
Mailing address
5748 Quail Ave N
Crystal, MN 55429-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305389 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245856004
Nicole Leanne Bergstresser, MA, LADC's National Provider Identifier is 1245856004, issued on Jun 17, 2020. 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 Jun 17, 2020.