Organization · Type 2 NPI
Leech Lake Outpatient Treatment Program
Addiction (Substance Use Disorder) Counselor · Cass Lake, MN
NPI number
1275701666
Active
Practice location
6095 161st Ave NW
Cass Lake, MN 56633-3428
Fax (218) 335-8307
Mailing address
6905 161st St. NW
Cass Lake, MN 56633-3428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Cass Lake
About NPI 1275701666
Leech Lake Outpatient Treatment Program's National Provider Identifier is 1275701666, issued on Feb 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cass Lake, MN. The record was last updated on Jul 18, 2008.