Individual provider · Type 1 NPI

Melissa M. Prudhomme, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1730449935 Active

Practice location

1132 Central Ave NE
Minneapolis, MN 55413-1512

Call (612) 902-5932 Map

Fax (612) 236-1701

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302411 (MN)

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

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About NPI 1730449935

Melissa M. Prudhomme, LADC's National Provider Identifier is 1730449935, issued on May 22, 2012. 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 May 22, 2012.