Individual provider · Type 1 NPI
Judy Ann Tholen, MS, LADC, LPCC
Mental Health Counselor · Cass Lake, MN
NPI number
1548411945
Active
Practice location
16123 Grant Utley Avenue
Cass Lake, MN 56633
Fax (218) 335-4410
Mailing address
190 Sailstar Dr NE
Cass Lake, MN 56633-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 301820 (MN) |
| Mental Health Counselor Primary | 101YM0800X | 2286 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1548411945
Judy Ann Tholen, MS, LADC, LPCC's National Provider Identifier is 1548411945, issued on Oct 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cass Lake, MN. The record was last updated on Nov 13, 2019.