Individual provider · Type 1 NPI
Colette Maureen Bisanz-Haas, MA, LADC
Addiction (Substance Use Disorder) Counselor · Bloomington, MN
NPI number
1346601804
Active
Practice location
9301 Bryant Ave S Ste 107
Bloomington, MN 55420-3438
Fax (952) 405-9723
Mailing address
9301 Bryant Ave S
Bloomington, MN 55420-3436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1077449-2CDT (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1346601804
Colette Maureen Bisanz-Haas, MA, LADC's National Provider Identifier is 1346601804, issued on Mar 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, MN. The record was last updated on Mar 11, 2016.