Individual provider · Type 1 NPI

Janet Kay Smallidge, BA

Addiction (Substance Use Disorder) Counselor · Minnetonka, MN

NPI number 1649878398 Active

Practice location

5860 Baker Road
Minnetonka, MN 55345-5903

Call (952) 767-4200 Map

Fax (952) 767-4211

Mailing address

9535 Dunlap Ave
Circle Pines, MN 55014-3511

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305834 (MN)

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

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About NPI 1649878398

Janet Kay Smallidge, BA's National Provider Identifier is 1649878398, issued on Oct 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 19, 2024.