Individual provider · Type 1 NPI
Jay Alan Orth, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1750534434
Active
Practice location
1321 13th St N
St. Cloud, MN 56303-2613
Fax (320) 203-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301931 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750534434
Jay Alan Orth, LADC's National Provider Identifier is 1750534434, issued on Oct 28, 2008. 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 Oct 28, 2008.