Individual provider · Type 1 NPI
Evan Joseph Flack, MA, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1255079752
Active
Practice location
762 Transfer Rd Ste 21
St. Paul, MN 55114-1489
Mailing address
1180 Cushing Cir Apt 309
St. Paul, MN 55108-5017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305876 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255079752
Evan Joseph Flack, MA, LADC's National Provider Identifier is 1255079752, issued on May 24, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on May 24, 2022.