Individual provider · Type 1 NPI

Carolynne Sandbakken, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul Park, MN

NPI number 1558049478 Active

Practice location

950 9th Ave
St. Paul Park, MN 55071-1436

Mailing address

2042 Wooddale Dr Ste 220
Woodbury, MN 55125-4421

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1558049478

Carolynne Sandbakken, LADC's National Provider Identifier is 1558049478, issued on Jul 10, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul Park, MN. The record was last updated on Jul 10, 2023.