Individual provider · Type 1 NPI

Jory Colegrove, MA LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1730638644 Active

Practice location

1132 Central Ave NE
Minneapolis, MN 55413-1512

Call (612) 902-5928 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304459 (MN)

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

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About NPI 1730638644

Jory Colegrove, MA LADC's National Provider Identifier is 1730638644, issued on Oct 4, 2016. 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 Oct 4, 2016.