Individual provider · Type 1 NPI

Mallory Mahaffey, LADC

Addiction (Substance Use Disorder) Counselor · Maple Grove, MN

NPI number 1295548162 Active

Practice location

13603 80th Cir N
Maple Grove, MN 55369-8961

Call (651) 379-1718 Map

Mailing address

6880 Lost Lake Rd
Egg Harbor, WI 54209-9229

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303834 (MN)

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

65 other providers at this address

Other addiction (substance use disorder) counselor providers in Maple Grove

See all in Maple Grove →

About NPI 1295548162

Mallory Mahaffey, LADC's National Provider Identifier is 1295548162, issued on Jan 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 27, 2025.