Individual provider · Type 1 NPI

Susan Marie Connolly, LADC

Addiction (Substance Use Disorder) Counselor · Montgomery, MN

NPI number 1366914392 Active

Practice location

32298 State Highway 13
Montgomery, MN 56069-4348

Fax (507) 364-5908

Other practice locations

  • 922 Swift St, St. Peter, MN 56082-1844 · (507) 364-5312

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301422 (MN)

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

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About NPI 1366914392

Susan Marie Connolly, LADC's National Provider Identifier is 1366914392, issued on Jan 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montgomery, MN. The record was last updated on Aug 2, 2022.