Individual provider · Type 1 NPI

Rachel D. Wickstrom, LADC

Addiction (Substance Use Disorder) Counselor · Duluth, MN

NPI number 1295472959 Active

Practice location

332 W Superior St
Duluth, MN 55802-1808

Mailing address

1624 Graham Lake Rd
Holyoke, MN 55749-9519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300551 (MN)

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

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About NPI 1295472959

Rachel D. Wickstrom, LADC's National Provider Identifier is 1295472959, issued on May 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Duluth, MN. The record was last updated on May 15, 2022.