Individual provider · Type 1 NPI

Kathleen North Klevesahl, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1255667903 Active

Practice location

4432 Chicago Ave
Minneapolis, MN 55407-3519

Call (612) 870-2456 Map

Mailing address

15198 Lesley Ln
Eden Prairie, MN 55346-2533

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301930 (MN)

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

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About NPI 1255667903

Kathleen North Klevesahl, LADC's National Provider Identifier is 1255667903, issued on Oct 29, 2009. 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 Oct 29, 2009.