Individual provider · Type 1 NPI

Jennifer Connolly, LADC

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

NPI number 1578288403 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Call (763) 767-3350 Map

Mailing address

11452 Kenyon Ct NE
Blaine, MN 55449-5480

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305835 (MN)

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

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About NPI 1578288403

Jennifer Connolly, LADC's National Provider Identifier is 1578288403, issued on Oct 4, 2022. 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 Oct 4, 2022.