Individual provider · Type 1 NPI

Luke Goettlicher, LADC

Addiction (Substance Use Disorder) Counselor · Coon Rapids, MN

NPI number 1427484898 Active

Practice location

3833 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2599

Call (763) 767-3350 Map

Fax (763) 767-0912

Mailing address

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302300 (MN)

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

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About NPI 1427484898

Luke Goettlicher, LADC's National Provider Identifier is 1427484898, issued on Sep 17, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 13, 2018.