Individual provider · Type 1 NPI
Kallie Timm, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1487333175
Active
Practice location
1420 W Saint Germain St Ste, Suite 104/105
St. Cloud, MN 56301-4156
Mailing address
721 2nd Ave N
Sauk Rapids, MN 56379-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305597 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487333175
Kallie Timm, LADC's National Provider Identifier is 1487333175, issued on Jul 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 12, 2023.