Individual provider · Type 1 NPI
Timothy Ledermann, LADC
Addiction (Substance Use Disorder) Counselor · Crookston, MN
NPI number
1487981759
Active
Practice location
23616 US Highway 2 SW
Crookston, MN 56716-9103
Mailing address
323 S Minnesota St
Crookston, MN 56716-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302607 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1487981759
Timothy Ledermann, LADC's National Provider Identifier is 1487981759, issued on Nov 7, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crookston, MN. The record was last updated on Nov 7, 2009.