Individual provider · Type 1 NPI
Mindy Ann Martin
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1669787628
Active
Practice location
1321 13th St N
St. Cloud, MN 56303-2613
Fax (320) 203-1855
Mailing address
308 12th Ave S
Buffalo, MN 55313-2321
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 1669787628
Mindy Ann Martin's National Provider Identifier is 1669787628, issued on Aug 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 16, 2010.