Individual provider · Type 1 NPI
Mahlon Michael Mace, LADC
Addiction (Substance Use Disorder) Counselor · Marshall, MN
NPI number
1609340025
Active
Practice location
1212 E College Dr
Marshall, MN 56258-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 30196 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609340025
Mahlon Michael Mace, LADC's National Provider Identifier is 1609340025, issued on Jan 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marshall, MN. The record was last updated on Jan 18, 2019.