Individual provider · Type 1 NPI
Julie Ann Theisen, LADC
Addiction (Substance Use Disorder) Counselor · New Brighton, MN
NPI number
1306247531
Active
Practice location
2351 3rd Street NW, 201
New Brighton, MN 55112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303869 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306247531
Julie Ann Theisen, LADC's National Provider Identifier is 1306247531, issued on Sep 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Sep 8, 2014.