Organization · Type 2 NPI
New Salem Metamorphosis Adolesent Program
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1750636973
Active
Practice location
2507 Bryant Ave N
Minneapolis, MN 55411-2116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1061325-1-CDT (MN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1750636973
New Salem Metamorphosis Adolesent Program's National Provider Identifier is 1750636973, issued on Jul 14, 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 Jul 14, 2012.