Individual provider · Type 1 NPI

Mary Hodge

Addiction (Substance Use Disorder) Counselor · Roseville, MN

NPI number 1255846168 Active

Practice location

2311 Woodbridge St
Roseville, MN 55113-4710

Fax (651) 773-9115

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303575 (MN)

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

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About NPI 1255846168

Mary Hodge's National Provider Identifier is 1255846168, issued on Dec 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, MN. The record was last updated on Dec 14, 2017.