Individual provider · Type 1 NPI
Shelby Edevold
Addiction (Substance Use Disorder) Counselor · Coon Rapids, MN
NPI number
1609498666
Active
Practice location
11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609498666
Shelby Edevold's National Provider Identifier is 1609498666, issued on May 13, 2020. 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 May 13, 2020.