Individual provider · Type 1 NPI

Matthew Rupp, LADC

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1417404880 Active

Practice location

1900 Silver Lake Road NW, Suite 110
New Brighton, MN 55112

Fax (651) 379-1738

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304594 (MN)

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

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About NPI 1417404880

Matthew Rupp, LADC's National Provider Identifier is 1417404880, issued on Sep 2, 2016. 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 23, 2016.