Individual provider · Type 1 NPI
Eric Thomas Clemensen, BS, LADC, BCC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1366708109
Active
Practice location
1609 Jackson St
St. Paul, MN 55117-3917
Fax (651) 488-5658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303592 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in St. Paul
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- Shawn Grygo, LADCAddiction (Substance Use Disorder) Counselor St. Paul, MN NPI 1023698099
About NPI 1366708109
Eric Thomas Clemensen, BS, LADC, BCC's National Provider Identifier is 1366708109, issued on Apr 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Jul 10, 2014.