Individual provider · Type 1 NPI
Pierre Henri Faillettaz, BA, MDIV, LADC
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1619441995
Active
Practice location
3409 Portland Ave
Minneapolis, MN 55407-2023
Fax (651) 393-5161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304389 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1619441995
Pierre Henri Faillettaz, BA, MDIV, LADC's National Provider Identifier is 1619441995, issued on Jan 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 19, 2019.