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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301422 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Montgomery
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.